Transition Family Services Llc | |
16000 Providence Dr Ste. 100 Southfield MI 48075 | |
(248) 499-4312 | |
Not Available |
Full Name | Transition Family Services Llc |
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Speciality | Public Health or Welfare |
Location | 16000 Providence Dr, Southfield, Michigan |
Authorized Official Name and Position | Tamika Marie Reeves (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 2484994312 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Transition Family Services Llc 24000 Morton St Oak Park MI 48237-2185 Ph: (248) 499-4312 | Transition Family Services Llc 16000 Providence Dr Ste. 100 Southfield MI 48075 Ph: (248) 499-4312 |
NPI Number | 1104209162 |
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Provider Enumeration Date | 07/08/2015 |
Last Update Date | 08/10/2015 |
Medicare PECOS PAC ID | 7719340777 |
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Medicare Enrollment ID | O20230824001625 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104209162 | NPI | - | NPPES |
Provider Name | Deanne Renee Mcgowan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366783938 PECOS PAC ID: 1153678677 Enrollment ID: I20180716000696 |
Provider Name | Erica Coates |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780042549 PECOS PAC ID: 2365892692 Enrollment ID: I20231228001120 |
Provider Name | Tamika Reeves |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508282237 PECOS PAC ID: 0446613400 Enrollment ID: I20231228002224 |
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