Adult Family & Group Counseling Pllc in Rapid River - Clinical

Adult Family & Group Counseling Pllc - NPI 1518093871

Adult Family & Group Counseling Pllc is a Clinical in Rapid River, Michigan. Adult Family & Group Counseling Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Adult Family & Group Counseling Pllc is 1518093871. The last update date is 2013-05-14.

Adult Family & Group Counseling Pllc's current location address is 10426 V.05 Rd, Rapid River, Michigan. You can contact this provider via phone number 9064746010 and fax number 9064746010. The mailing address for Adult Family & Group Counseling Pllc is 10426 V.05 Rd, Rapid River, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Adult Family & Group Counseling Pllc
Address 10426 V.05 Rd, Rapid River, Michigan
Phone Number 9064746010
Fax Number 9064746010
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dougherty Louise Eleanor
Credentials LMSW-CM,CA
Telephone Number 9064205844

NPI Number Detail

NPI Number 1518093871
Provider Enumeration Date 2007-02-23
Last Updated Date 2013-05-14

Provider Mailing Address Detail

Address 10426 V.05 Rd
City Rapid River
State Michigan (MI)
Post Code 498789462
Phone Number 9064746010
Fax Number 9064746010

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801069892
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1295715498 MI OWNER / PROVIDER NPI
0P44870 MEDICARE GROUP #
897996 MI BCBSM INDIVIUAL PROVIDER PIN
600073696 MAGELLAN GROUP/ORG #
8008979960 MI BCBSM ID

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FAQs about Adult Family & Group Counseling Pllc

What is the unique 10-digit identifier code issued to Adult Family & Group Counseling Pllc by the Centers for Medicare & Medicaid Services?

The Adult Family & Group Counseling Pllc has been assigned the NPI (National Provider Identifier) 1518093871 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Adult Family & Group Counseling Pllc's facilities are situated?

The facilities of Adult Family & Group Counseling Pllc are physically located at the following address: 10426 V.05 Rd, Rapid River, MI, 498789462.

What is Adult Family & Group Counseling Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Adult Family & Group Counseling Pllc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When did the Adult Family & Group Counseling Pllc receive its 1518093871?

The Adult Family & Group Counseling Pllc was issued its 1518093871 on 2007-02-23, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Adult Family & Group Counseling Pllc most recently updated or revised?

The information pertaining to Adult Family & Group Counseling Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-14.

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