| Sexual Health And Counseling Services Llc | |
|
39500 W 10 Mile Rd Ste 110 Novi MI 48375-2947 | |
| (248) 330-0070 | |
| Not Available |
| Full Name | Sexual Health And Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 39500 W 10 Mile Rd Ste 110, Novi, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sexual Health And Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Sexual Health And Counseling Services Llc 39500 W 10 Mile Rd Ste 110 Novi MI 48375-2947 Ph: (248) 330-0070 |
| NPI Number | 1447637202 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Medicare PECOS PAC ID | 1254652662 |
|---|---|
| Medicare Enrollment ID | O20150610000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447637202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801096357 (Michigan) | Primary |
| Provider Name | Gayle M Shotkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457696304 PECOS PAC ID: 4880915297 Enrollment ID: I20150610000301 |
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