| Shanti Counseling Services, Llc | |
|
6199 Miller Rd Suite A Swartz Creek MI 48473-1585 | |
| (810) 630-0904 | |
| Not Available |
| Full Name | Shanti Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6199 Miller Rd, Swartz Creek, Michigan |
| Authorized Official Name and Position | Theresa Marie Callard-moore (PRESIDENT) |
| Authorized Official Contact | 8106300904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanti Counseling Services, Llc 6199 Miller Rd Suite A Swartz Creek MI 48473-1585 Ph: (810) 630-0904 | Shanti Counseling Services, Llc 6199 Miller Rd Suite A Swartz Creek MI 48473-1585 Ph: (810) 630-0904 |
| NPI Number | 1174706048 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174706048 | NPI | - | NPPES |
| 1235158627 | Other | MI | NPI |
| 8008976950 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6801067098 (Michigan) | Primary |
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