Organization
DOWNRIVER MENTAL HEALTH CLINIC PC
Active
Other names
ADVANCED COUNSELING SERVICES PC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(206) 399-1493
Entity
Organization
Contact information
Practice address
20500 EUREKA RD, SUITE 200, TAYLOR, MI 48180-6394
(734) 285-8282
(734) 281-0402
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(480) 524-0990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003433000 188713000
MAGELLAN
MI
01
—
004241F3
HAP
MI
01
—
101039
VALUE OPTIONS
MI
01
—
4441363
TEAMSTERS
MI
01
—
4449395
AETNA
MI
01
—
511213
CARE CHOICES
—
01
—
7509106200
BCBS OF MI:MENTAL HEALTH
—
01
—
BM820042
MCARE
MI
Enumeration date
08/18/2006
Last updated
03/01/2024
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