| Brandy Spring Pass, MA MFT | |
| 
					882 Oakman Blvd, Detroit, MI 48238-3710  | |
| (313) 961-4890 | |
| Not Available | 
| Full Name | Brandy Spring Pass | 
|---|---|
| Gender | Female | 
| Speciality | Marriage & Family Therapist | 
| Location | 882 Oakman Blvd, Detroit, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376788984 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101007284 (Michigan) | Primary | 
| Entity Name | Neighborhood Service Organization | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brandy Spring Pass, MA MFT 882 Oakman Blvd, Detroit, MI 48238-3710 Ph: (313) 961-4890  | Brandy Spring Pass, MA MFT 882 Oakman Blvd, Detroit, MI 48238-3710 Ph: (313) 961-4890  | 
Dianne Harper, MSW, LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17321 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500  | |
Samantha Arlena-nicole Mitchell, LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17321 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500  | |
Dr. Timothy Alan Williams, MDIV, DMIN, MA, ACC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand River Ave, Detroit, MI 48204 Phone: 678-870-5515 Fax: 678-870-5515  | |
Kymberly M Cunningham, LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20220 Mitchell St, Detroit, MI 48234 Phone: 313-319-6149  | |
Lenora Jackson,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18518 Saint Marys St, Detroit, MI 48235 Phone: 313-623-6235  | |
Dr. Irena J Glover, PHD, LMSW Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829  |