| Happy Mama Counseling Pllc | |
|
17251 W 12 Mile Rd Ste 200 Southfield MI 48076-2140 | |
| (248) 416-4644 | |
| (833) 419-1234 |
| Full Name | Happy Mama Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 17251 W 12 Mile Rd Ste 200, Southfield, Michigan |
| Authorized Official Name and Position | Tina Gutman (OWNER) |
| Authorized Official Contact | 2484164644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Mama Counseling Pllc 17251 W 12 Mile Rd Ste 200 Southfield MI 48076-2140 Ph: (248) 416-4644 | Happy Mama Counseling Pllc 17251 W 12 Mile Rd Ste 200 Southfield MI 48076-2140 Ph: (248) 416-4644 |
| NPI Number | 1477162592 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 08/02/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 3375968399 |
|---|---|
| Medicare Enrollment ID | O20200806003371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477162592 | NPI | - | NPPES |
| 6801097752 | Other | MI | LICENSED CLINICAL SOCIAL WORKER - STATE OF MI - LARA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tina G Gutman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972076503 PECOS PAC ID: 6305184441 Enrollment ID: I20190214001576 |
| Provider Name | Chey Dania Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407585805 PECOS PAC ID: 7517495906 Enrollment ID: I20250113003451 |
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