| Shepherds Staff Counseling Services, Pllc | |
|
3887 Okemos Rd Suite A2 Okemos MI 48864-3664 | |
| (517) 333-6700 | |
| (517) 347-3702 |
| Full Name | Shepherds Staff Counseling Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3887 Okemos Rd, Okemos, Michigan |
| Authorized Official Name and Position | Carolyn Sue Lucas (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 5173336700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherds Staff Counseling Services, Pllc 3887 Okemos Rd Suite A2 Okemos MI 48864-3664 Ph: (517) 333-6700 | Shepherds Staff Counseling Services, Pllc 3887 Okemos Rd Suite A2 Okemos MI 48864-3664 Ph: (517) 333-6700 |
| NPI Number | 1720024672 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 09/25/2013 |
| Medicare PECOS PAC ID | 3173545456 |
|---|---|
| Medicare Enrollment ID | O20051230000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720024672 | NPI | - | NPPES |
| 044627 | Other | MI | BEHAVIORAL HEALTH ADMINIS |
| 0C33276 | Other | MI | BLUE CROSS BLUE SHIELD PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301008781 (Michigan) | Primary |
| Provider Name | Carolyn Sue Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013008374 PECOS PAC ID: 8527080803 Enrollment ID: I20060110000419 |
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