| Hispanic Autism Services Of Michigan | |
|
51111 Woodward Ave Ste 150 Pontiac MI 48342-5037 | |
| (248) 977-5310 | |
| (248) 920-0386 |
| Full Name | Hispanic Autism Services Of Michigan |
|---|---|
| Speciality | Behavior Analyst |
| Location | 51111 Woodward Ave Ste 150, Pontiac, Michigan |
| Authorized Official Name and Position | Jocelin Maria Henriquez (CEO) |
| Authorized Official Contact | 2482542616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic Autism Services Of Michigan 27856 Lenox Ave Madison Heights MI 48071-2730 Ph: (248) 254-2616 | Hispanic Autism Services Of Michigan 51111 Woodward Ave Ste 150 Pontiac MI 48342-5037 Ph: (248) 977-5310 |
| NPI Number | 1750892337 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 3476968397 |
|---|---|
| Medicare Enrollment ID | O20210226000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750892337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Virgil M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114165339 PECOS PAC ID: 7416937628 Enrollment ID: I20040810000093 |
Honor Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd, Building 87, Pontiac, MI 48341 Phone: 248-724-7435 | |
Brookside Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Iroquois Rd, Pontiac, MI 48341 Phone: 248-390-5919 | |
Michigan Institute Of Neurology And Epilepsy Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44555 Woodward Ave Ste 104, Pontiac, MI 48341 Phone: 248-858-6104 Fax: 248-858-6115 | |
Oakland Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
North Oakland Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Psychiatric Unit, Pontiac, MI 48341 Phone: 248-857-7200 | |
Ennis Center For Children, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 S Telegraph Rd, Pontiac, MI 48341 Phone: 248-334-2715 | |
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