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Contact Information

ABC BEHAVIORAL MENTAL HEALTH PLLC
4823 BANTRY DR
WEST BLOOMFIELD, MI48322-1527
 Phone: 248-884-2422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ABC BEHAVIORAL MENTAL HEALTH PLLC · (Female)

NPI Number 1548010416
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2024
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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