| Synergy Counseling Services, Llc | |
|
33300 Warren Rd Ste 19 Westland MI 48185-9627 | |
| (734) 799-7646 | |
| (734) 661-6786 |
| Full Name | Synergy Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 33300 Warren Rd Ste 19, Westland, Michigan |
| Authorized Official Name and Position | Becky Sue Brant (OWNER) |
| Authorized Official Contact | 7347997351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Counseling Services, Llc 33300 Warren Rd Ste 19 Westland MI 48185-9627 Ph: (734) 799-7351 | Synergy Counseling Services, Llc 33300 Warren Rd Ste 19 Westland MI 48185-9627 Ph: (734) 799-7646 |
| NPI Number | 1457767832 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 01/09/2023 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 0244450617 |
|---|---|
| Medicare Enrollment ID | O20141007000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457767832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401012582 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801092432 (Michigan) | Primary |
| Provider Name | Becky Sue Brant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013200476 PECOS PAC ID: 1355571688 Enrollment ID: I20140305001171 |
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