DOWNRIVER MENTAL HEALTH CLINIC PC NPI 1598893141

NPI Information

NPI: 1598893141
Provider Name: DOWNRIVER MENTAL HEALTH CLINIC PC

Doing Business As: ADVANCED COUNSELING SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
24715 LITTLE MACK AVE
SUITE 200
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 777-9000
Get Directions

DOWNRIVER MENTAL HEALTH CLINIC PC is a mental health (including community mental health center) clinic center in Saint Clair Shores, MI. DOWNRIVER MENTAL HEALTH CLINIC PC NPI is 1598893141. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Counseling Services.

The provider's business location address is:

24715 LITTLE MACK AVE
SUITE 200
SAINT CLAIR SHORES, MI
ZIP 48080-207
Phone: (586) 777-9000
Fax: (586) 777-0823

The provider's authorized official is Patricia F Beach .
The authorized official title is Provider Relations and has the following contact phone number (248) 213-0501.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/19/2013.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BM820042	OTHER	MICHIGAN	MCARE
2	0Q24542	MEDICARE ID-TYPE UNSPECIFIED
3	0M37070	MEDICARE ID-TYPE UNSPECIFIED
4	=========	OTHER	MICHIGAN	EIN
5	188715000	OTHER	MICHIGAN	MAGELLAN STATE OF MI
6	511213	OTHER	MICHIGAN	CARE CHOICES
7	7509109000	OTHER	MICHIGAN	BCBS
8	4449395	OTHER	MICHIGAN	AETNA
9	4441728	OTHER	MICHIGAN	TEAMSTERS
10	=========	OTHER	MICHIGAN	BCN
11	=========	OTHER	MICHIGAN	TRICARE
12	101039	OTHER	MICHIGAN	VALUE OPTIONS
13	0Q26429	MEDICARE ID-TYPE UNSPECIFIED
14	004241F3	OTHER	MICHIGAN	HAP
15	=========	OTHER	MICHIGAN	PPOM

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: 5/5/2024

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