| Open Door Counseling Center | |
|
42627 Garfield Rd Ste 217 Clinton Township MI 48038-5032 | |
| (248) 210-5018 | |
| Not Available |
| Full Name | Open Door Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 42627 Garfield Rd Ste 217, Clinton Township, Michigan |
| Authorized Official Name and Position | Carol S Agnew (OWNER) |
| Authorized Official Contact | 5862032715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Door Counseling Center 42627 Garfield Rd Ste 217 Clinton Township MI 48038-5032 Ph: (248) 210-5018 | Open Door Counseling Center 42627 Garfield Rd Ste 217 Clinton Township MI 48038-5032 Ph: (248) 210-5018 |
| NPI Number | 1295239416 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Medicare PECOS PAC ID | 7315295649 |
|---|---|
| Medicare Enrollment ID | O20180802002999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295239416 | NPI | - | NPPES |
| VS0041365 | Medicaid | MI |
| Provider Name | Hala Salem Pietrangelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154378172 PECOS PAC ID: 0749260222 Enrollment ID: I20040723001128 |
| Provider Name | Kevin S Kinsel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942567177 PECOS PAC ID: 5597176842 Enrollment ID: I20201118000943 |
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