Ascension Eastwood Behavioral Health in Saint Clair Shores - Counselor
Ascension Eastwood Behavioral Health - NPI 1104044676
Ascension Eastwood Behavioral Health is a Counselor in Saint Clair Shores, Michigan. Ascension Eastwood Behavioral Health practices all healthcare services and medical treatments related to Counselor. The NPI Number for Ascension Eastwood Behavioral Health is 1104044676. The last update date is 2023-11-15.
Ascension Eastwood Behavioral Health's current location address is 24055 Jefferson Ave Ste 103, Saint Clair Shores, Michigan. You can contact this provider via phone number 5864452210 and fax number 5864450700. The mailing address for Ascension Eastwood Behavioral Health is 24055 Jefferson Ave Ste 103, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ascension Eastwood Behavioral Health |
|---|---|
| Address | 24055 Jefferson Ave Ste 103, Saint Clair Shores, Michigan |
| Phone Number | 5864452210 |
| Fax Number | 5864450700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUOERVISOR |
|---|---|
| Authorized Official Name | Starkel Sarah |
| Telephone Number | 5867530400 |
NPI Number Detail
| NPI Number | 1104044676 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 24055 Jefferson Ave Ste 103 |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480801511 |
| Phone Number | 5864452210 |
| Fax Number | 5864450700 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Ascension Eastwood Behavioral Health by the Centers for Medicare & Medicaid Services?
The Ascension Eastwood Behavioral Health has been assigned the NPI (National Provider Identifier) 1104044676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Ascension Eastwood Behavioral Health is located?
The Ascension Eastwood Behavioral Health is situated at the following address: 24055 Jefferson Ave Ste 103, Saint Clair Shores, MI, 480801511.
What is Ascension Eastwood Behavioral Health's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ascension Eastwood Behavioral Health is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
When was the Ascension Eastwood Behavioral Health's 1104044676 issued?
The Ascension Eastwood Behavioral Health's 1104044676 was issued on 2007-04-23.
When was the information related to Ascension Eastwood Behavioral Health most recently updated or refreshed?
The details pertaining to the Ascension Eastwood Behavioral Health, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-15.
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