| Reliance Counseling, Llc. | |
|
11126 Wayne Rd # 2 Romulus MI 48174-1473 | |
| (734) 377-8720 | |
| (734) 527-6183 |
| Full Name | Reliance Counseling, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11126 Wayne Rd # 2, Romulus, Michigan |
| Authorized Official Name and Position | James A Lee (OWNER) |
| Authorized Official Contact | 7343778720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Counseling, Llc. 11126 Wayne Rd # 2 Romulus MI 48174-1473 Ph: (734) 377-8720 | Reliance Counseling, Llc. 11126 Wayne Rd # 2 Romulus MI 48174-1473 Ph: (734) 377-8720 |
| NPI Number | 1972141406 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Medicare PECOS PAC ID | 1254736309 |
|---|---|
| Medicare Enrollment ID | O20210827000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972141406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | James A Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699119461 PECOS PAC ID: 2769710961 Enrollment ID: I20190827000255 |
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