| Tri-county Counseling Services Llc | |
|
711 W 13 Mile Rd Suite 100 Madison Heights MI 48071-1806 | |
| (248) 535-5685 | |
| Not Available |
| Full Name | Tri-county Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 711 W 13 Mile Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Rafed Yaldo (ADMINISTRATIVE STAFF) |
| Authorized Official Contact | 2487624210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Counseling Services Llc 711 W 13 Mile Rd Suite 100 Madison Heights MI 48071-1806 Ph: (248) 535-5685 | Tri-county Counseling Services Llc 711 W 13 Mile Rd Suite 100 Madison Heights MI 48071-1806 Ph: (248) 535-5685 |
| NPI Number | 1225339906 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 3173703907 |
|---|---|
| Medicare Enrollment ID | O20110210000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225339906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Talia K Al Hamando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033203161 PECOS PAC ID: 0941399554 Enrollment ID: I20071205000160 |
| Provider Name | Calmeze Henike Dudley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639205651 PECOS PAC ID: 3971661950 Enrollment ID: I20081020000431 |
| Provider Name | Michael Kubiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720257074 PECOS PAC ID: 8123341468 Enrollment ID: I20141217002824 |
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