| Spiritual Family Counseling, Llc | |
|
26677 W 12 Mile Rd Southfield MI 48034-1514 | |
| (248) 602-6003 | |
| (844) 829-4484 |
| Full Name | Spiritual Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 26677 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Roeslaid Rene Mclaurine (OWNER) |
| Authorized Official Contact | 2486026003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiritual Family Counseling, Llc 39160 Hayes Rd Clinton Township MI 48038-5717 Ph: (248) 602-6003 | Spiritual Family Counseling, Llc 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (248) 602-6003 |
| NPI Number | 1851885925 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 4284009358 |
|---|---|
| Medicare Enrollment ID | O20230404001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851885925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Roeslaid Rene Mclaurine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679014872 PECOS PAC ID: 1658658497 Enrollment ID: I20170504002151 |
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