Comprehensive Counseling Center Pc in Warren - Adult Mental Health
Comprehensive Counseling Center Pc - NPI 1093711459
Comprehensive Counseling Center Pc is a Adult Mental Health in Warren, Michigan. Comprehensive Counseling Center Pc practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Comprehensive Counseling Center Pc is 1093711459. The last update date is 2012-01-05.
Comprehensive Counseling Center Pc's current location address is 11885 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5865586000 and fax number 5865586679. The mailing address for Comprehensive Counseling Center Pc is 11885 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Counseling Center Pc |
|---|---|
| Address | 11885 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5865586000 |
| Fax Number | 5865586679 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Lingnurkar Md V Sudhir |
| Credentials | MD |
| Telephone Number | 5865586000 |
NPI Number Detail
| NPI Number | 1093711459 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 11885 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 4809334740 |
| Phone Number | 5865586000 |
| Fax Number | 5865586679 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 0 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 750910346 | MI | BLUE CROSS/BLUE SHIELD ID | |
| 338940 | MI | BLUE CARE NETWORK ID |
Post Comment/ Review Below
Could you share the physical location details of Comprehensive Counseling Center Pc?
The Comprehensive Counseling Center Pc is situated at 11885 E 12 Mile Rd, in the city of Warren, state of MI, with the zip code 4809334740.
What is Comprehensive Counseling Center Pc's area of expertise and its corresponding taxonomy classification?
The Comprehensive Counseling Center Pc's field of specialization is Adult Mental Health, and it falls under the taxonomy code 261Qm0850X, which categorizes healthcare providers based on their areas of practice.
When did Comprehensive Counseling Center Pc receive its 1093711459 assignment?
The Comprehensive Counseling Center Pc was assigned its 1093711459 on 2005-06-21, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093711459 to Comprehensive Counseling Center Pc?
The Centers for Medicare & Medicaid Services originally issued the 1093711459 to Comprehensive Counseling Center Pc on 2005-06-21.
As of what date were the details pertaining to Comprehensive Counseling Center Pc last refreshed?
The information related to the Comprehensive Counseling Center Pc, including its address, specialty, and other relevant details, was last updated on 2012-01-05.