| Mcmillan Behavioral Health And Addiction Services Pllc | |
|
25600 Woodward Ave Ste 215 Royal Oak MI 48067-0945 | |
| (248) 399-7447 | |
| Not Available |
| Full Name | Mcmillan Behavioral Health And Addiction Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 25600 Woodward Ave Ste 215, Royal Oak, Michigan |
| Authorized Official Name and Position | Mark Mcmillan (FOUNDER, CEO) |
| Authorized Official Contact | 2485069626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmillan Behavioral Health And Addiction Services Pllc 436 Channing St Ferndale MI 48220-2549 Ph: (248) 506-9626 | Mcmillan Behavioral Health And Addiction Services Pllc 25600 Woodward Ave Ste 215 Royal Oak MI 48067-0945 Ph: (248) 399-7447 |
| NPI Number | 1962972349 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 8224379979 |
|---|---|
| Medicare Enrollment ID | O20190408001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962972349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark F Mcmillan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053787457 PECOS PAC ID: 2163706938 Enrollment ID: I20170223001246 |
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