Monroe Community Mental Health Authority | |
1001 S Raisinville Rd Monroe MI 48161-9754 | |
(734) 243-7340 | |
(734) 243-5506 |
Full Name | Monroe Community Mental Health Authority |
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Speciality | Community/Behavioral Health |
Location | 1001 S Raisinville Rd, Monroe, Michigan |
Authorized Official Name and Position | Jane S Terwilliger (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7342437340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monroe Community Mental Health Authority 1001 S Raisinville Rd Po Box 0726 Monroe MI 48161-9754 Ph: (734) 243-7340 | Monroe Community Mental Health Authority 1001 S Raisinville Rd Monroe MI 48161-9754 Ph: (734) 243-7340 |
NPI Number | 1245303890 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 09/25/2008 |
Medicare PECOS PAC ID | 8325025513 |
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Medicare Enrollment ID | O20040706000915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245303890 | NPI | - | NPPES |
4355907 | Medicaid | MI | |
4456552 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Paul Y Gutterman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629140611 PECOS PAC ID: 5496719346 Enrollment ID: I20041122000168 |
Provider Name | Manish Prasad |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558395947 PECOS PAC ID: 8325096340 Enrollment ID: I20050106000592 |
Provider Name | Kim Horn |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497778617 PECOS PAC ID: 7517967680 Enrollment ID: I20070115000171 |
Provider Name | Pasha M Streeter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922322684 PECOS PAC ID: 4385874015 Enrollment ID: I20160615000985 |
Provider Name | Marialba Romero Medina |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407040173 PECOS PAC ID: 4284939687 Enrollment ID: I20180524000242 |
Caring Alternatives Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2092 S Custer Rd, Monroe, MI 48161 Phone: 734-242-8711 Fax: 734-242-3955 | |
Puente Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2456 10th St, Monroe, MI 48162 Phone: 734-497-2951 | |
Elshaddai Counseling & Consultation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Front St, Suite 204, Monroe, MI 48161 Phone: 734-240-0372 Fax: 734-481-0090 | |
Delaney Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15502 S Telegraph Rd, Monroe, MI 48161 Phone: 734-241-4851 | |
Wise Owl Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 W Willow St, Monroe, MI 48162 Phone: 734-707-7315 | |
Primacare , L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14930 Laplaisance Rd, #138, Monroe, MI 48161 Phone: 734-513-1122 Fax: 734-421-1405 | |
El Shaddai Counseling & Consultation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Front St, Suite 204, Monroe, MI 48161 Phone: 734-240-0372 Fax: 734-240-0372 |