| Your Story Counseling Llc | |
|
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1805 | |
| (313) 338-8840 | |
| Not Available |
| Full Name | Your Story Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3200 Greenfield Rd Ste 300, Dearborn, Michigan |
| Authorized Official Name and Position | Daniel J Horrigan (OWNER) |
| Authorized Official Contact | 7182163454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Story Counseling Llc 15346 Piedmont St Detroit MI 48223-1715 Ph: (718) 216-3454 | Your Story Counseling Llc 3200 Greenfield Rd Ste 300 Dearborn MI 48120-1805 Ph: (313) 338-8840 |
| NPI Number | 1841972627 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 5890149314 |
|---|---|
| Medicare Enrollment ID | O20231002001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841972627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel James Horrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942723440 PECOS PAC ID: 4880067438 Enrollment ID: I20230301000440 |
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