| Umbrellex Behavioral Health Services | |
|
13854 Lakeside Cir Ste 255 Sterling Heights MI 48313-1443 | |
| (248) 206-5787 | |
| Not Available |
| Full Name | Umbrellex Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 13854 Lakeside Cir Ste 255, Sterling Heights, Michigan |
| Authorized Official Name and Position | Bianca Wilson (CO OWNER) |
| Authorized Official Contact | 2482065787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrellex Behavioral Health Services 13854 Lakeside Cir Ste 255 Sterling Heights MI 48313-1443 Ph: (248) 206-5787 | Umbrellex Behavioral Health Services 13854 Lakeside Cir Ste 255 Sterling Heights MI 48313-1443 Ph: (248) 206-5787 |
| NPI Number | 1144723404 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 9537414669 |
|---|---|
| Medicare Enrollment ID | O20180613003178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144723404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Bianca Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770031213 PECOS PAC ID: 3173878204 Enrollment ID: I20180629000197 |
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