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Organization
PEDIATRIC AND ADOLESCENT BEHAVIORAL COUNSELING, LLC.
Active
Organization
PEDIATRIC AND ADOLESCENT BEHAVIORAL COUNSELING, LLC.
Active
Other names
Pediatric and Adult Behavioral Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIELLE MCIVER MS LPC NCC CCTP (OWNER)
(248) 973-7958
Entity
Organization
Contact information
Practice address
36400 WOODWARD AVE STE 110, BLOOMFIELD HILLS, MI 48304-0912
(248) 973-7958
(972) 323-7684
Mailing address
36400 WOODWARD AVE STE 110, BLOOMFIELD HILLS, MI 48304-0912
(248) 973-7958
(972) 323-7684
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/04/2019
Last updated
11/13/2022
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