| Promoting Positive Images | |
|
46775 Judd Rd Belleville MI 48111-8963 | |
| (734) 294-9111 | |
| Not Available |
| Full Name | Promoting Positive Images |
|---|---|
| Speciality | Social Worker |
| Location | 46775 Judd Rd, Belleville, Michigan |
| Authorized Official Name and Position | Jerome Edward Roberson (DIRECTOR) |
| Authorized Official Contact | 7342949111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promoting Positive Images 847 Sumpter Rd Van Buren Twp MI 48111-4905 Ph: (734) 294-9111 | Promoting Positive Images 46775 Judd Rd Belleville MI 48111-8963 Ph: (734) 294-9111 |
| NPI Number | 1962639740 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 08/27/2023 |
| Certification Date | 08/27/2023 |
| Medicare PECOS PAC ID | 2466816103 |
|---|---|
| Medicare Enrollment ID | O20230913001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962639740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jerome Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306073713 PECOS PAC ID: 7214381342 Enrollment ID: I20231003001133 |
| Provider Name | Rema Mourad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194433003 PECOS PAC ID: 9133577562 Enrollment ID: I20231127000528 |
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