PRO MED SUBSTANCE ABUSE PROGRAM LLC NPI 1861748238

NPI Information

  • NPI: 1861748238
  • Provider Name: PRO MED SUBSTANCE ABUSE PROGRAM LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 2891 E. MAPLE RD. SUITE 200
    TROY, MI
    ZIP 48083
  • Phone: (248) 726-0127

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NPI Details

PRO MED SUBSTANCE ABUSE PROGRAM LLC is an addiction (substance use disorder) counselor in Troy, MI. PRO MED SUBSTANCE ABUSE PROGRAM LLC NPI is 1861748238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2891 E. MAPLE RD. SUITE 200
TROY, MI
ZIP 48083
Phone: (248) 726-0127

The provider's authorized official is Mark Wolodkowicz .
The authorized official title is Administrator and has the following contact phone number (248) 726-0127.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 11/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalNo
3101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 3/30/2025

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