| Samaritan Counseling Center Of Southeastern Michigan | |
|
29887 W 11 Mile Rd Farmington Hills MI 48336-1309 | |
| (248) 474-4701 | |
| (248) 474-1518 |
| Full Name | Samaritan Counseling Center Of Southeastern Michigan |
|---|---|
| Speciality | Clinic/Center |
| Location | 29887 W 11 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Paul J. Melrose (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2484744701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Counseling Center Of Southeastern Michigan 29887 W 11 Mile Rd Farmington Hills MI 48336-1309 Ph: (248) 474-4701 | Samaritan Counseling Center Of Southeastern Michigan 29887 W 11 Mile Rd Farmington Hills MI 48336-1309 Ph: (248) 474-4701 |
| NPI Number | 1043373137 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/10/2009 |
| Medicare PECOS PAC ID | 0345390266 |
|---|---|
| Medicare Enrollment ID | O20090615000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043373137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen A Schurgin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417150889 PECOS PAC ID: 4880845528 Enrollment ID: I20121106000607 |
| Provider Name | Vanessa F Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154631588 PECOS PAC ID: 8022338573 Enrollment ID: I20150522001699 |
| Provider Name | Katie M Furton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962755207 PECOS PAC ID: 9931574456 Enrollment ID: I20230413002176 |
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