| Holistic Social Services, Inc. | |
|
3233 Coolidge Hwy Berkley MI 48072-1633 | |
| (248) 470-3003 | |
| (248) 674-4822 |
| Full Name | Holistic Social Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3233 Coolidge Hwy, Berkley, Michigan |
| Authorized Official Name and Position | Indira Hall (OWNER) |
| Authorized Official Contact | 2484703003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Social Services, Inc. 2211 S Telegraph Rd Unit 7443 Bloomfield Hills MI 48302-4817 Ph: (248) 470-3003 | Holistic Social Services, Inc. 3233 Coolidge Hwy Berkley MI 48072-1633 Ph: (248) 470-3003 |
| NPI Number | 1659731875 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Medicare PECOS PAC ID | 6709175482 |
|---|---|
| Medicare Enrollment ID | O20160519001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659731875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Indira J Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992101810 PECOS PAC ID: 7517282403 Enrollment ID: I20150218000495 |
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