| Southwest Conseling Services | |
|
1700 Waterman Detroit MI 48209-2022 | |
| (313) 841-8900 | |
| (313) 841-2276 |
| Full Name | Southwest Conseling Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1700 Waterman, Detroit, Michigan |
| Authorized Official Name and Position | Sean Defour (PRESIDENT CEO) |
| Authorized Official Contact | 3134813102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Conseling Services 1700 Waterman Detroit MI 48209-2022 Ph: (313) 841-8900 | Southwest Conseling Services 1700 Waterman Detroit MI 48209-2022 Ph: (313) 841-8900 |
| NPI Number | 1386756153 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 4082648365 |
|---|---|
| Medicare Enrollment ID | O20050926000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386756153 | NPI | - | NPPES |
| 750910836 | Other | MI | BCBS |
| Provider Name | Someswara N Navuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669419156 PECOS PAC ID: 6507835386 Enrollment ID: I20040928001265 |
| Provider Name | Jaswant S Purohit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437169786 PECOS PAC ID: 0244292464 Enrollment ID: I20041101000091 |
| Provider Name | Vijayalakshmi Lingam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760496194 PECOS PAC ID: 4587629951 Enrollment ID: I20041124000535 |
| Provider Name | Nadimpalli V Raju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700834827 PECOS PAC ID: 3274599832 Enrollment ID: I20041206000281 |
| Provider Name | James R Ebaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487706172 PECOS PAC ID: 3779529987 Enrollment ID: I20050628000997 |
| Provider Name | Stephanie D Stevenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659456184 PECOS PAC ID: 7416993407 Enrollment ID: I20050629001102 |
| Provider Name | Edgard Pedraza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881881324 PECOS PAC ID: 8820022072 Enrollment ID: I20050927000162 |
| Provider Name | Mohamed Siddique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114086857 PECOS PAC ID: 2961429055 Enrollment ID: I20051027001131 |
| Provider Name | Ratnakar S Pai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740296045 PECOS PAC ID: 7517092703 Enrollment ID: I20100312000485 |
| Provider Name | Tehmina Shakir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366659260 PECOS PAC ID: 5193985414 Enrollment ID: I20120323000486 |
| Provider Name | Huri A Kushner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316229941 PECOS PAC ID: 4284882903 Enrollment ID: I20120921000707 |
| Provider Name | Kelly Marie Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073952842 PECOS PAC ID: 9133443666 Enrollment ID: I20150109002121 |
| Provider Name | Daniel M Figueredo Leal |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1396998258 PECOS PAC ID: 3476869017 Enrollment ID: I20150827002584 |
| Provider Name | Andrew Humphries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043525447 PECOS PAC ID: 6901112242 Enrollment ID: I20150901000831 |
| Provider Name | Lauren E Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043760515 PECOS PAC ID: 1052698792 Enrollment ID: I20170504002394 |
| Provider Name | Jennifer K Cavanagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417403254 PECOS PAC ID: 7618232547 Enrollment ID: I20180524002138 |
| Provider Name | Priscilla C Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700271574 PECOS PAC ID: 3971858812 Enrollment ID: I20180619000088 |
| Provider Name | Doris Monica Geldres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063773091 PECOS PAC ID: 2466796164 Enrollment ID: I20181206003079 |
| Provider Name | Jenna Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184082588 PECOS PAC ID: 1557747128 Enrollment ID: I20221005000874 |
| Provider Name | Erika Isabel Piloto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417600768 PECOS PAC ID: 1355717430 Enrollment ID: I20221013003054 |
| Provider Name | Katy Pelot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871972521 PECOS PAC ID: 0042686719 Enrollment ID: I20240412003802 |
| Provider Name | Tanya Marie Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215422365 PECOS PAC ID: 1254771645 Enrollment ID: I20240502001353 |
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