| Beyond The Surface Counseling & Consulting Llc | |
|
41800 Hayes Rd Ste 522c Clinton Township MI 48038-1876 | |
| (586) 277-8999 | |
| Not Available |
| Full Name | Beyond The Surface Counseling & Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 41800 Hayes Rd Ste 522c, Clinton Township, Michigan |
| Authorized Official Name and Position | Chasity Shelton (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5862778999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Surface Counseling & Consulting Llc 37583 Charter Oaks Blvd Clinton Township MI 48036-4406 Ph: () - | Beyond The Surface Counseling & Consulting Llc 41800 Hayes Rd Ste 522c Clinton Township MI 48038-1876 Ph: (586) 277-8999 |
| NPI Number | 1912618752 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 6204208986 |
|---|---|
| Medicare Enrollment ID | O20230206001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912618752 | NPI | - | NPPES |
| Provider Name | Severia Adolphus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992939052 PECOS PAC ID: 3274801246 Enrollment ID: I20170615000548 |
| Provider Name | Chasity Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053685594 PECOS PAC ID: 8820362874 Enrollment ID: I20170914003010 |
| Provider Name | Ashli Nicole Hieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770269730 PECOS PAC ID: 8921468117 Enrollment ID: I20230719003475 |
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