MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC NPI 1659729507

NPI Information

NPI: 1659729507
Provider Name: MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 23D1005832

Address:
2449 E 12 MILE RD
WARREN, MI
ZIP 48092
Phone: (586) 510-4992
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MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC is a mental health counselor in Warren, MI. MICHIGAN DIAGNOSTIC ALCOHOL AND DRUG SERVICES LLC NPI is 1659729507. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2449 E 12 MILE RD
WARREN, MI
ZIP 48092-647
Phone: (586) 510-4992
Fax: (586) 393-5012

The provider's authorized official is Kumar Giri .
The authorized official title is Owner and has the following contact phone number (586) 943-7390.

The CLIA number assigned to this NPI record is 23D1005832 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 8/17/2016.

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	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
2	106H00000X	Marriage & Family Therapist		No
3	101YM0800X	Counselor	Mental Health	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: 5/5/2024

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