| Therapeutic Encounters Pc | |
|
3800 Woodward Ave Suite 202 Detroit MI 48201-2061 | |
| (313) 832-0870 | |
| (313) 832-6024 |
| Full Name | Therapeutic Encounters Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3800 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Xavier White (OWNER) |
| Authorized Official Contact | 3138320870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Encounters Pc 3800 Woodward Ave Suite 202 Detroit MI 48201-2061 Ph: (313) 832-0870 | Therapeutic Encounters Pc 3800 Woodward Ave Suite 202 Detroit MI 48201-2061 Ph: (313) 832-0870 |
| NPI Number | 1265556161 |
|---|---|
| Provider Enumeration Date | 03/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8628166485 |
|---|---|
| Medicare Enrollment ID | O20071113000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265556161 | NPI | - | NPPES |
| 103421 | Other | MI | GREAT LAKES HMO |
| XW405376 | Other | MI | MI ST LIC # |
| 2093489 | Other | MI | CIGNA HEALTH INS |
| 3242604 | Medicaid | MI | |
| P00082403 | Other | MI | PALMETTO RR MEDICARE |
| G22932 | Other | MI | HAP |
| 10043320001 | Other | MI | WELLNESS PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | XW405376 (Michigan) | Primary |
| Provider Name | Xavier White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265548903 PECOS PAC ID: 8123116985 Enrollment ID: I20071113000406 |
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