| Sbh Ventures Llc | |
|
5734 Kingsbury St Dearborn Heights MI 48127-3118 | |
| (313) 258-2583 | |
| Not Available |
| Full Name | Sbh Ventures Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5734 Kingsbury St, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Sanaa Nadim Haidar (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3132582583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbh Ventures Llc 5734 Kingsbury St Dearborn Heights MI 48127-3118 Ph: (313) 258-2583 | Sbh Ventures Llc 5734 Kingsbury St Dearborn Heights MI 48127-3118 Ph: (313) 258-2583 |
| NPI Number | 1871100602 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 06/12/2021 |
| Certification Date | 06/12/2021 |
| Medicare PECOS PAC ID | 4082148515 |
|---|---|
| Medicare Enrollment ID | O20241106003449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871100602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sanaa N Haidar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952730624 PECOS PAC ID: 1557764255 Enrollment ID: I20241106003458 |
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