| Alliance Behavioral Health Specialists,pllc | |
|
43155 Main St Ste 2316 Novi MI 48375-1781 | |
| (734) 673-9522 | |
| Not Available |
| Full Name | Alliance Behavioral Health Specialists,pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 43155 Main St Ste 2316, Novi, Michigan |
| Authorized Official Name and Position | Nazia S Adil (PRESIDENT) |
| Authorized Official Contact | 7346739522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Behavioral Health Specialists,pllc 43155 Main St Ste 2316 Novi MI 48375-1781 Ph: (734) 673-9522 | Alliance Behavioral Health Specialists,pllc 43155 Main St Ste 2316 Novi MI 48375-1781 Ph: (734) 673-9522 |
| NPI Number | 1992269690 |
|---|---|
| Provider Enumeration Date | 01/27/2019 |
| Last Update Date | 01/27/2019 |
| Medicare PECOS PAC ID | 4880934793 |
|---|---|
| Medicare Enrollment ID | O20190312002684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992269690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nazia S Adil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861696882 PECOS PAC ID: 2668642570 Enrollment ID: I20110901000651 |
| Provider Name | Mark M Bahoura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790046191 PECOS PAC ID: 9032357041 Enrollment ID: I20171206000074 |
| Provider Name | Danny L Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730653973 PECOS PAC ID: 9830438522 Enrollment ID: I20190225000369 |
| Provider Name | Erin M Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720542772 PECOS PAC ID: 8729327432 Enrollment ID: I20190225000939 |
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