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ICARE COUNSELING OF MICHIGAN PLLC NPI 1063838902


NPI Information

NPI: 1063838902
Provider Name: ICARE COUNSELING OF MICHIGAN, PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
16950 19 MILE RD
SUITE 3G
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 292-3397
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ICARE COUNSELING OF MICHIGAN, PLLC is an adult mental health clinic center in Clinton Township, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ICARE COUNSELING OF MICHIGAN, PLLC NPI is 1063838902. The provider is registered as an organization entity type.

The provider's business location address is:

16950 19 MILE RD
SUITE 3G
CLINTON TOWNSHIP, MI
ZIP 48038-804
Phone: (586) 292-3397
Fax: (586) 228-8809

The provider's authorized official is Gale J Williford .
The authorized official title is Owner and has the following contact phone number (586) 292-3397.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 3/20/2014.


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
1261QM0850XClinic/CenterAdult Mental Health6801085880MICHIGANYes

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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