| E Squared Behavioral Health, Pllc | |
|
1204 Bedford Rd Grosse Pointe Park MI 48230-1116 | |
| (313) 451-1685 | |
| Not Available |
| Full Name | E Squared Behavioral Health, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1204 Bedford Rd, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Jason Eldred (OWNER) |
| Authorized Official Contact | 3134511685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Squared Behavioral Health, Pllc 1204 Bedford Rd Grosse Pointe Park MI 48230-1116 Ph: (313) 451-1685 | E Squared Behavioral Health, Pllc 1204 Bedford Rd Grosse Pointe Park MI 48230-1116 Ph: (313) 451-1685 |
| NPI Number | 1053008136 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053008136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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