| Michigan Counseling Centers | |
|
20300 Superior Suite 160 Taylor MI 48180-6341 | |
| (888) 622-3345 | |
| (586) 436-3596 |
| Full Name | Michigan Counseling Centers |
|---|---|
| Speciality | Social Worker |
| Location | 20300 Superior, Taylor, Michigan |
| Authorized Official Name and Position | Thomas John Krolicki (FORMER EXECUTIVE DIRECTOR PREVIOUS) |
| Authorized Official Contact | 3138064873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Counseling Centers 20300 Superior Suite 160 Taylor MI 48180-6341 Ph: (888) 622-3345 | Michigan Counseling Centers 20300 Superior Suite 160 Taylor MI 48180-6341 Ph: (888) 622-3345 |
| NPI Number | 1720434426 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 4385928597 |
|---|---|
| Medicare Enrollment ID | O20170308001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720434426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801067478 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas Krolicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164889275 PECOS PAC ID: 3476830472 Enrollment ID: I20170428001851 |
| Provider Name | Zachary Paul Wollack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710490271 PECOS PAC ID: 9537427174 Enrollment ID: I20180103000883 |
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