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PAMELA CZUJ DBA PERSONAL DYNAMICS CENTER NPI 1760514681


NPI Information

NPI: 1760514681
Provider Name: PAMELA CZUJ DBA PERSONAL DYNAMICS CENTER

Doing Business As: PERSONAL DYNAMICS CENTER

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
23810 MICHIGAN AVE
DEARBORN, MI
ZIP 48124
Phone: (734) 878-4965
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PAMELA CZUJ DBA PERSONAL DYNAMICS CENTER is a social worker in Dearborn, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. PAMELA CZUJ DBA PERSONAL DYNAMICS CENTER NPI is 1760514681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Personal Dynamics Center.

The provider's business location address is:

23810 MICHIGAN AVE
DEARBORN, MI
ZIP 48124-830
Phone: (734) 878-4965
Fax: (313) 563-2615

The provider's authorized official is Pamela Ann Czuj .
The authorized official title is Executive Director and has the following contact phone number (313) 563-4142.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 7/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1-00442MICHIGANNo
21041C0700XSocial WorkerClinical6801013746MICHIGANNo
3104100000XSocial Worker6801013746MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1054991OTHERMICHIGANVALUE OPTIONS
28008919700OTHERMICHIGANBLUE CROSS &BLUE SHIELD
311585836OTHERMICHIGANCIGNA
40Q26323MEDICARE PINMICHIGAN
50Q26323011MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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