| Clinton Counseling Center | |
|
2 Crocker Blvd Ste 205 Mount Clemens MI 48043-2558 | |
| (586) 463-7079 | |
| (586) 468-4505 |
| Full Name | Clinton Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2 Crocker Blvd Ste 205, Mount Clemens, Michigan |
| Authorized Official Name and Position | Jeffrey Alan Oldham (CEO) |
| Authorized Official Contact | 5864637079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Counseling Center 2 Crocker Boulevard Suite 103 Mt Clemens MI 48043-2558 Ph: (586) 463-7079 | Clinton Counseling Center 2 Crocker Blvd Ste 205 Mount Clemens MI 48043-2558 Ph: (586) 463-7079 |
| NPI Number | 1750400065 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 8022045418 |
|---|---|
| Medicare Enrollment ID | O20050718000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750400065 | NPI | - | NPPES |
| 125582 | Other | VALUE OPTIONS | |
| 20476 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 500017 (Michigan) | Primary |
| Provider Name | Kathleen A Allin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013085984 PECOS PAC ID: 6002918331 Enrollment ID: I20070216000411 |
| Provider Name | Neda Habeeb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831548536 PECOS PAC ID: 2567753585 Enrollment ID: I20190826000260 |
| Provider Name | Wendy Besler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962699736 PECOS PAC ID: 7012290679 Enrollment ID: I20220209002158 |
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