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DOWNRIVER MENTAL HEALTH CLINIC PC NPI 1700915071


NPI Information

NPI: 1700915071
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:
5958 N CANTON CENTER RD
SUITE 900
CANTON, MI
ZIP 48187
Phone: (734) 737-1200
Get Directions

DOWNRIVER MENTAL HEALTH CLINIC PC is a mental health (including community mental health center) clinic center in Canton, MI. DOWNRIVER MENTAL HEALTH CLINIC PC NPI is 1700915071. 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:

5958 N CANTON CENTER RD
SUITE 900
CANTON, MI
ZIP 48187-765
Phone: (734) 737-1200
Fax: (734) 737-1205

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 3/5/2007 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
1261QM0801XClinic/CenterMental 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=========OTHERMICHIGANTRICARE
2511213OTHERMICHIGANCARE CHOICES
30N56820MEDICARE ID-TYPE UNSPECIFIED
4004241F3OTHERMICHIGANHAP
54441275OTHERMICHIGANTEAMSTERS
6BM820042OTHERMICHIGANMCARE
70M02580MEDICARE PINMICHIGAN
8=========OTHERMICHIGANEIN
9=========OTHERMICHIGANPPOM
100M37070MEDICARE PINMICHIGAN
11=========OTHERMICHIGANBCN
127509108980OTHERMICHIGANBCBS
13101039OTHERMICHIGANVALUE OPTIONS
144449395OTHERMICHIGANAETNA
150M02590MEDICARE ID-TYPE UNSPECIFIED
160Q26429MEDICARE PINMICHIGAN
17188709000OTHERMICHIGANMAGELLAN STATE OF MI

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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