| Transcendent Life Counseling Services | |
|
26079 York Rd Huntington Woods MI 48070-1310 | |
| (313) 717-7673 | |
| Not Available |
| Full Name | Transcendent Life Counseling Services |
|---|---|
| Speciality | Psychologist |
| Location | 26079 York Rd, Huntington Woods, Michigan |
| Authorized Official Name and Position | Rose Moten (OWNER) |
| Authorized Official Contact | 3137177673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcendent Life Counseling Services 26079 York Rd Huntington Woods MI 48070-1310 Ph: (313) 717-7673 | Transcendent Life Counseling Services 26079 York Rd Huntington Woods MI 48070-1310 Ph: (313) 717-7673 |
| NPI Number | 1952723074 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Medicare PECOS PAC ID | 4688605355 |
|---|---|
| Medicare Enrollment ID | O20050823000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952723074 | NPI | - | NPPES |
| 6301011845 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301011845 (Marshall Islands) | Primary |
| Provider Name | Rose Renee Moten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225119613 PECOS PAC ID: 4183655855 Enrollment ID: I20050823000856 |
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