| Comprehensive Counseling Center Pc | |
|
11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 | |
| (586) 558-6000 | |
| (586) 558-6679 |
| Full Name | Comprehensive Counseling Center Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11885 E 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Sudhir V Lingnurkar Md (PRESIDENT/OWNER) |
| Authorized Official Contact | 5865586000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Counseling Center Pc 11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 Ph: (586) 558-6000 | Comprehensive Counseling Center Pc 11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 Ph: (586) 558-6000 |
| NPI Number | 1093711459 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 01/05/2012 |
| Medicare PECOS PAC ID | 3971659046 |
|---|---|
| Medicare Enrollment ID | O20090915000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093711459 | NPI | - | NPPES |
| 750910346 | Other | MI | BLUE CROSS/BLUE SHIELD ID |
| 338940 | Other | MI | BLUE CARE NETWORK ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0000000000 (Michigan) | Primary |
| Provider Name | Chalakudy V Ramakrishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295790442 PECOS PAC ID: 1052376274 Enrollment ID: I20041130000137 |
| Provider Name | Santosh K Rastogi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043327117 PECOS PAC ID: 2860570165 Enrollment ID: I20080428000484 |
| Provider Name | Sudhir Lingnurkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316905102 PECOS PAC ID: 8325194491 Enrollment ID: I20100730000691 |
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