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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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