Pastoral Counseling and Consultation Service
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Dearborn, MI
NPI 1124146451 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1124146451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- PASTORAL COUNSELING AND CONSULTATION SERVICE
- Practice address
- 24110 Cherry Hill Rd
Dearborn, MI 48124 - Phone
- (313) 274-4510
- Fax
- (313) 274-4571
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert K Seymour, REV. DR.
- Title
- Executive Director
- Phone
- (313) 274-4570
Practitioners 11
-
Barbara Anne Aimone, L.P.C.
-
Claudia Cacciato, LMSW
-
Ruby J. Bowens, LMSW, CSW
-
William L. Guy, PH.D., M.D.
-
Dorinda Marie Hughes, MSW
-
Joan Marie McKenna, LLMSW
-
Dorothy M Siegl, MSW ACSW
-
Mary Jo Ann Walters, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020000754 | MI | Part B Supplier - Clinic/Group Practice | 4789877978 |
Receives reassigned benefits from 6 practitioners Practice locations: Dearborn, MI |
National Provider Directory
Locations
24110 Cherry Hill St
Dearborn, MI 48124
Phone (313) 274-4510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
24110 Cherry Hill Rd
Dearborn, MI 48124
Mailing address
24110 Cherry Hill Rd
Dearborn, MI 48124
Phone (313) 274-4510
Other names
- Dearborn Pastoral Counseling Center
Other providers in Dearborn, MI
- Melissa Ann Parsons
- Lajean Partmon
- Parvez Khan MD PC,
- Passion to Love LLC
- Anthony Cauzillo Passmore
- Colleen Rose Pastunink
- Patel-Waterworks PC
- Aamil Patel
- Dharmandra C Patel
- Falgun C. Patel
All providers in Dearborn, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.