| Angel Counseling Inc. | |
|
26847 Grand River Ave Redford MI 48240-1544 | |
| (313) 533-5652 | |
| (313) 533-5644 |
| Full Name | Angel Counseling Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 26847 Grand River Ave, Redford, Michigan |
| Authorized Official Name and Position | Giawanna Monnette Peterson-rochon (PRESIDENT AND CEO) |
| Authorized Official Contact | 3135335652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Counseling Inc. 26847 Grand River Ave Redford MI 48240-1544 Ph: (313) 533-5652 | Angel Counseling Inc. 26847 Grand River Ave Redford MI 48240-1544 Ph: (313) 533-5652 |
| NPI Number | 1891835062 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 02/13/2009 |
| Medicare PECOS PAC ID | 9436114568 |
|---|---|
| Medicare Enrollment ID | O20041130000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891835062 | NPI | - | NPPES |
| 0896890 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801083169 (Michigan) | Primary |
| Provider Name | Umeika Makita Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851329338 PECOS PAC ID: 2668372582 Enrollment ID: I20040108001114 |
| Provider Name | Giawanna M Peterson-rochon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538327382 PECOS PAC ID: 9234194366 Enrollment ID: I20041201000171 |
| Provider Name | Kai Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790901429 PECOS PAC ID: 5496834871 Enrollment ID: I20080509000585 |
| Provider Name | Katharine B Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548568900 PECOS PAC ID: 2163657479 Enrollment ID: I20131022001445 |
| Provider Name | Don Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528155850 PECOS PAC ID: 9638136799 Enrollment ID: I20141015001981 |
| Provider Name | Guam Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376067488 PECOS PAC ID: 7810259371 Enrollment ID: I20180320003296 |
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