| Michigan Counseling Collaborative | |
|
5826 Dixie Hwy Waterford MI 48329-1525 | |
| (947) 999-7055 | |
| Not Available |
| Full Name | Michigan Counseling Collaborative |
|---|---|
| Speciality | Counselor |
| Location | 5826 Dixie Hwy, Waterford, Michigan |
| Authorized Official Name and Position | Dana Wright (LPC) |
| Authorized Official Contact | 9479997055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Counseling Collaborative 5826 Dixie Hwy Waterford MI 48329-1525 Ph: (947) 999-7055 | Michigan Counseling Collaborative 5826 Dixie Hwy Waterford MI 48329-1525 Ph: (947) 999-7055 |
| NPI Number | 1346089539 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 2961934708 |
|---|---|
| Medicare Enrollment ID | O20241017001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346089539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dana L Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568834422 PECOS PAC ID: 8921532433 Enrollment ID: I20241109000527 |
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