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901 Livernois St Ferndale MI 48220-2319 | |
| (248) 259-1991 | |
| (248) 286-6062 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 901 Livernois St, Ferndale, Michigan |
| Authorized Official Name and Position | Stephanie P Williams (OWNER) |
| Authorized Official Contact | 2482591991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
901 Livernois St Ferndale MI 48220-2319 Ph: (248) 259-1991 | 901 Livernois St Ferndale MI 48220-2319 Ph: (248) 259-1991 |
| NPI Number | 1740512979 |
|---|---|
| Provider Enumeration Date | 02/14/2010 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 8527191535 |
|---|---|
| Medicare Enrollment ID | O20100728000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740512979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952569410 PECOS PAC ID: 8123194479 Enrollment ID: I20080910000302 |
| Provider Name | Stephanie P Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306886270 PECOS PAC ID: 3678606688 Enrollment ID: I20101020000571 |
| Provider Name | Doris M Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538361779 PECOS PAC ID: 2365691524 Enrollment ID: I20121003000143 |
| Provider Name | Tena Payton-vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700371085 PECOS PAC ID: 4880016039 Enrollment ID: I20200617001848 |
| Provider Name | Gregory Paul Drozdowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245264043 PECOS PAC ID: 0345655759 Enrollment ID: I20210217001927 |
| Provider Name | Dellkawaa Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508317538 PECOS PAC ID: 1052780483 Enrollment ID: I20221207001521 |
| Provider Name | Samantha George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942757364 PECOS PAC ID: 4284008087 Enrollment ID: I20230317001285 |
| Provider Name | Janis Alousi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033733993 PECOS PAC ID: 3173974714 Enrollment ID: I20240109001280 |
| Provider Name | Anne Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356373492 PECOS PAC ID: 3678017076 Enrollment ID: I20240626003016 |
| Provider Name | Amanda Condic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336657949 PECOS PAC ID: 0143756809 Enrollment ID: I20241205001441 |
| Provider Name | Kirsti Reeve |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962739565 PECOS PAC ID: 4880120278 Enrollment ID: I20241209002871 |
| Provider Name | Evelyn E Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780104109 PECOS PAC ID: 1355877655 Enrollment ID: I20241210003542 |
Fairsky Foundation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23231 Woodward Ave, Ferndale, MI 48220 Phone: 248-581-8777 Fax: 888-975-9374 | |
Community Living Services Of Oakland County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 E. Nine Mile Rd., Ferndale, MI 48220 Phone: 248-547-2668 Fax: 248-547-3052 | |
The Nelson Center For Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Ardmore Dr, Ferndale, MI 48220 Phone: 313-903-3955 | |
Powers Consulting Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 W 9 Mile Rd Ste 207, Ferndale, MI 48220 Phone: 248-632-1344 Fax: 855-516-8881 | |
Tracy H. Bishop And Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 22750 Woodward Ave Ste 208, Ferndale, MI 48220 Phone: 773-548-2260 | |
Opening New Doors Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Hilton Rd Ste 5, Ferndale, MI 48220 Phone: 248-417-0248 Fax: 248-665-8685 |