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COMPREHENSIVE COUNSELING CENTER PC NPI 1093711459


NPI Information

NPI: 1093711459
Provider Name: COMPREHENSIVE COUNSELING CENTER PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
11885 E 12 MILE RD
STE. 201A
WARREN, MI
ZIP 48093
Phone: (586) 558-6000
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COMPREHENSIVE COUNSELING CENTER PC is an adult mental health clinic center in Warren, 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. COMPREHENSIVE COUNSELING CENTER PC NPI is 1093711459. The provider is registered as an organization entity type.

The provider's business location address is:

11885 E 12 MILE RD
STE. 201A
WARREN, MI
ZIP 48093-474
Phone: (586) 558-6000
Fax: (586) 558-6679

The provider's authorized official is Sudhir V Lingnurkar Md .
The authorized official title is President/owner and has the following contact phone number (586) 558-6000.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 1/5/2012.


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 Health0000000000MICHIGANYes

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
1750910346OTHERMICHIGANBLUE CROSS/BLUE SHIELD ID
210436MEDICARE UPINMICHIGAN
3338940OTHERMICHIGANBLUE CARE NETWORK ID
4ON33700MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE ID NUMBER

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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