Ss Counseling And Consulting Services, Pllc | |
23756 Michigan Ave Dearborn MI 48124-1853 | |
(313) 338-6964 | |
Not Available |
Full Name | Ss Counseling And Consulting Services, Pllc |
---|---|
Speciality | Counselor |
Location | 23756 Michigan Ave, Dearborn, Michigan |
Authorized Official Name and Position | Semaa Shlebah (OWNER) |
Authorized Official Contact | 3133386964 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ss Counseling And Consulting Services, Pllc Po Box 1676 Dearborn MI 48121-1676 Ph: (313) 338-6964 | Ss Counseling And Consulting Services, Pllc 23756 Michigan Ave Dearborn MI 48124-1853 Ph: (313) 338-6964 |
NPI Number | 1073269833 |
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Provider Enumeration Date | 03/01/2022 |
Last Update Date | 01/30/2024 |
Certification Date | 01/30/2024 |
Medicare PECOS PAC ID | 0143665174 |
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Medicare Enrollment ID | O20240229003311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073269833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Provider Name | Sura R Shlebah |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376049502 PECOS PAC ID: 5496167371 Enrollment ID: I20201217001494 |
Provider Name | Semaa Shlebah |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104376649 PECOS PAC ID: 9335582162 Enrollment ID: I20240208003531 |
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