| Real Perspective Counseling Agency | |
|
29623 Northwestern Hwy Ste 6 Southfield MI 48034-1076 | |
| (313) 932-5527 | |
| Not Available |
| Full Name | Real Perspective Counseling Agency |
|---|---|
| Speciality | Counselor |
| Location | 29623 Northwestern Hwy Ste 6, Southfield, Michigan |
| Authorized Official Name and Position | Dorothea Foster (COUNSELOR) |
| Authorized Official Contact | 3139325527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Perspective Counseling Agency 628 Pingree St Detroit MI 48202-2024 Ph: (313) 932-5527 | Real Perspective Counseling Agency 29623 Northwestern Hwy Ste 6 Southfield MI 48034-1076 Ph: (313) 932-5527 |
| NPI Number | 1356937759 |
|---|---|
| Provider Enumeration Date | 12/19/2020 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 1456743681 |
|---|---|
| Medicare Enrollment ID | O20220121000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356937759 | NPI | - | NPPES |
| 1063965432 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maya D Cobb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598427304 PECOS PAC ID: 8224488572 Enrollment ID: I20231228001757 |
| Provider Name | Dorothea Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063965432 PECOS PAC ID: 0244622413 Enrollment ID: I20240111001536 |
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