| Heron Ridge Associates Plc | |
|
705 S Main St Suite 280 Plymouth MI 48170-2089 | |
| (734) 454-3560 | |
| (734) 454-3570 |
| Full Name | Heron Ridge Associates Plc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 705 S Main St, Plymouth, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, SECRETARY, TREASURER) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heron Ridge Associates Plc 3694 Clarkston Rd Suite D Clarkston MI 48348-5213 Ph: (248) 693-8880 | Heron Ridge Associates Plc 705 S Main St Suite 280 Plymouth MI 48170-2089 Ph: (734) 454-3560 |
| NPI Number | 1295905727 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295905727 | NPI | - | NPPES |
| 463240 | Other | MI | VALUE OPTIONS |
| 750910408 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 822246 (Michigan) | Primary |
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