| Pams Place Counseling Center | |
|
2441 W Grand Blvd Ste 202 Detroit MI 48208-1229 | |
| (313) 894-8088 | |
| (313) 894-8888 |
| Full Name | Pams Place Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2441 W Grand Blvd Ste 202, Detroit, Michigan |
| Authorized Official Name and Position | James T Edgar (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3138948088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pams Place Counseling Center 2441 W Grand Blvd Ste 202 Detroit MI 48208-1229 Ph: (313) 894-8088 | Pams Place Counseling Center 2441 W Grand Blvd Ste 202 Detroit MI 48208-1229 Ph: (313) 894-8088 |
| NPI Number | 1962988576 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962988576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401007590 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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