Brookside Counseling Srvs, Llc in Southfield - Clinical
Brookside Counseling Srvs, Llc - NPI 1447213376
Brookside Counseling Srvs, Llc is a Clinical in Southfield, Michigan. Brookside Counseling Srvs, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brookside Counseling Srvs, Llc is 1447213376. The last update date is 2020-08-22.
Brookside Counseling Srvs, Llc's current location address is 15565 Northland Dr, Southfield, Michigan. You can contact this provider via phone number 2485521030 and fax number 2485523041. The mailing address for Brookside Counseling Srvs, Llc is 15565 Northland Dr, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookside Counseling Srvs, Llc |
|---|---|
| Address | 15565 Northland Dr, Southfield, Michigan |
| Phone Number | 2485521030 |
| Fax Number | 2485523041 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Franklin Lovene D'Anne |
| Credentials | MSW |
| Telephone Number | 2485521030 |
NPI Number Detail
| NPI Number | 1447213376 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15565 Northland Dr |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 48075 |
| Phone Number | 2485521030 |
| Fax Number | 2485523041 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801082501 |
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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 |
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What is the unique 10-digit identification code issued to Brookside Counseling Srvs, Llc by the Centers for Medicare & Medicaid Services?
The Brookside Counseling Srvs, Llc has been assigned the NPI (National Provider Identifier) 1447213376 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 address where Brookside Counseling Srvs, Llc is physically located?
The Brookside Counseling Srvs, Llc is situated at the following address: 15565 Northland Dr, Southfield, MI 48075.
What is Brookside Counseling Srvs, Llc's area of expertise and its corresponding taxonomy classification?
The Brookside Counseling Srvs, Llc's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Brookside Counseling Srvs, Llc receive the assignment of its 1447213376 from the Centers for Medicare & Medicaid Services?
The Brookside Counseling Srvs, Llc was issued its 1447213376 by the Centers for Medicare & Medicaid Services on 2006-04-11.
When was the information regarding Brookside Counseling Srvs, Llc most recently updated?
The details pertaining to the Brookside Counseling Srvs, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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