| Life Challenge Of Southeastern Michigan | |
|
17667 Pierson St Detroit MI 48219-2520 | |
| (313) 531-0111 | |
| Not Available |
| Full Name | Life Challenge Of Southeastern Michigan |
|---|---|
| Speciality | Counselor |
| Location | 17667 Pierson St, Detroit, Michigan |
| Authorized Official Name and Position | Ken Keene (DIRECTOR) |
| Authorized Official Contact | 3135310111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Challenge Of Southeastern Michigan 17667 Pierson St Detroit MI 48219-2520 Ph: (313) 531-0111 | Life Challenge Of Southeastern Michigan 17667 Pierson St Detroit MI 48219-2520 Ph: (313) 531-0111 |
| NPI Number | 1205304359 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Medicare PECOS PAC ID | 3072944743 |
|---|---|
| Medicare Enrollment ID | O20200513000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205304359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Mark Menestrina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265498059 PECOS PAC ID: 8325032014 Enrollment ID: I20040414000781 |
| Provider Name | Cindy Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265886535 PECOS PAC ID: 9739442005 Enrollment ID: I20180419000970 |
| Provider Name | Sheila Faye Brown-burrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235383605 PECOS PAC ID: 1759720055 Enrollment ID: I20240419000875 |
Bjc Counseling And Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16175 Asbury Park, Detroit, MI 48235 Phone: 313-673-1992 | |
Center For Establishing Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Riverfront Dr Apt 2610, Detroit, MI 48226 Phone: 313-288-2689 | |
Urban Unity Cdc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12400 E 7 Mile Rd, Detroit, MI 48205 Phone: 313-444-3990 | |
Community Social Services Of Wayne County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 Hamilton Ave, Detroit, MI 48202 Phone: 313-883-2339 Fax: 313-883-3957 | |
Emanuel T. Vanbolden, Phd, Lp, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Farnsworth St, Detroit, MI 48202 Phone: 313-577-2840 Fax: 313-577-8949 | |
Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829 | |
Embody Her Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd Ste 301, Detroit, MI 48226 Phone: 248-259-2562 |