| Opening New Doors Llc | |
|
800 Hilton Rd Ste 5 Ferndale MI 48220-2505 | |
| (248) 417-0248 | |
| (248) 665-8685 |
| Full Name | Opening New Doors Llc |
|---|---|
| Speciality | Counselor |
| Location | 800 Hilton Rd Ste 5, Ferndale, Michigan |
| Authorized Official Name and Position | Neoshua Butler (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2482388074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opening New Doors Llc 800 Hilton Rd Ste 5 Ferndale MI 48220-2505 Ph: (248) 238-8074 | Opening New Doors Llc 800 Hilton Rd Ste 5 Ferndale MI 48220-2505 Ph: (248) 417-0248 |
| NPI Number | 1144936626 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 2668831066 |
|---|---|
| Medicare Enrollment ID | O20230703001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144936626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Neoshua Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699289918 PECOS PAC ID: 5395104798 Enrollment ID: I20230703001636 |
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