| Michigan Center For Traumatic Stress | |
|
28800 Harper Ave Ste A Saint Clair Shores MI 48081-1249 | |
| (248) 688-2348 | |
| Not Available |
| Full Name | Michigan Center For Traumatic Stress |
|---|---|
| Speciality | Social Worker |
| Location | 28800 Harper Ave Ste A, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Sylvia Johnson (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 2483305770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Center For Traumatic Stress 28800 Harper Ave Ste A Saint Clair Shores MI 48081-1249 Ph: (248) 688-2348 | Michigan Center For Traumatic Stress 28800 Harper Ave Ste A Saint Clair Shores MI 48081-1249 Ph: (248) 688-2348 |
| NPI Number | 1518591932 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 7012336084 |
|---|---|
| Medicare Enrollment ID | O20200925000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518591932 | NPI | - | NPPES |
| Provider Name | Sylvia R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104317171 PECOS PAC ID: 1254680085 Enrollment ID: I20180827003790 |
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