Southfield Mental Health Associates Pc in Southfield - Mental Health (including Community Mental Health Center)
Southfield Mental Health Associates Pc - NPI 1619015872
Southfield Mental Health Associates Pc is a Mental Health (including Community Mental Health Center) in Southfield, Michigan. Southfield Mental Health Associates Pc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Southfield Mental Health Associates Pc is 1619015872. The last update date is 2020-08-22.
Southfield Mental Health Associates Pc's current location address is 17320 W 12 Mile Rd, Southfield, Michigan. You can contact this provider via phone number 2485573606 and fax number 2485574697. The mailing address for Southfield Mental Health Associates Pc is 17320 W 12 Mile Rd, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southfield Mental Health Associates Pc |
|---|---|
| Address | 17320 W 12 Mile Rd, Southfield, Michigan |
| Phone Number | 2485573606 |
| Fax Number | 2485574697 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Gusman J Lawrence |
| Credentials | PHD |
| Telephone Number | 2485573606 |
NPI Number Detail
| NPI Number | 1619015872 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17320 W 12 Mile Rd |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480762102 |
| Phone Number | 2485573606 |
| Fax Number | 2485574697 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302643 | MI | VALUE OPTIONS | |
| 7509106210 | MI | BLUE CROSS MICHIGAN |
Post Comment/ Review Below
What is the unique identifier code issued to Southfield Mental Health Associates Pc by the Centers for Medicare & Medicaid Services?
The Southfield Mental Health Associates Pc has been assigned the NPI (National Provider Identifier) 1619015872. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Southfield Mental Health Associates Pc?
The Southfield Mental Health Associates Pc is physically situated at 17320 W 12 Mile Rd, in the city of Southfield, state of MI, with the postal code 480762102.
What is Southfield Mental Health Associates Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southfield Mental Health Associates Pc's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.
When was the Southfield Mental Health Associates Pc's 1619015872 issued?
The Southfield Mental Health Associates Pc's 1619015872 was issued on 2007-02-01.
As of what date was the information pertaining to Southfield Mental Health Associates Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southfield Mental Health Associates Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.