| Southpointe Counseling Services | |
|
1927 Eureka Rd Wyandotte MI 48192-6009 | |
| (734) 365-4119 | |
| (734) 281-0188 |
| Full Name | Southpointe Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1927 Eureka Rd, Wyandotte, Michigan |
| Authorized Official Name and Position | Robert Wayne Gorman (PSYCHOLOGIST) |
| Authorized Official Contact | 7343654119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southpointe Counseling Services 1927 Eureka Wyandotte MI 48192 Ph: (734) 365-4119 | Southpointe Counseling Services 1927 Eureka Rd Wyandotte MI 48192-6009 Ph: (734) 365-4119 |
| NPI Number | 1710245261 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710245261 | NPI | - | NPPES |
| 6301005878 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301005878 (Michigan) | Primary |
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