Keith James Herriman, LLP is a
Counselor - Mental Health based in Southfield, Michigan. Keith James Herriman is licensed to practice in Michigan (license number 6361001627) and his current practice location is
17105 W 12 Mile Rd, Southfield, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 557-8390.
NPI number for Keith James Herriman is 1538713755 and his current mailing address is 17105 W 12 Mile Rd, Southfield, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538713755.
Healthcare Provider's Profile
| Full Name | Keith James Herriman |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 17105 W 12 Mile Rd, Southfield, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538713755
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 03/27/2024
Medical Identifiers
Medical identifiers for Keith James Herriman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538713755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 6361001627 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6361001627 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith James Herriman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keith James Herriman, LLP
17105 W 12 Mile Rd,
Southfield, MI 48076-2104
Ph: (502) 593-6885 | Keith James Herriman, LLP
17105 W 12 Mile Rd,
Southfield, MI 48076-2104
Ph: (248) 557-8390 |
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