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
7600 GRAND RIVER RD, SUITE 290, BRIGHTON, MI 48114-7333
(810) 220-2787
(810) 220-2834
Mailing address
20600 EUREKA RD, SUITE 819, TAYLOR, MI 48180-5343
(734) 285-8282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health 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
—
004241F3
HAP
MI
01
—
101039
VALUE OPTIONS
MI
01
—
188710000
MAGELLAN STATE OF MI
MI
01
—
4441728
TEAMSTERS
MI
01
—
4449395
AETNA
MI
01
—
511213
PREFERRED CHOICES
MI
01
—
7509108990
BLUE CROSS BLUE SHIELD
MI
01
—
BM820042
MCARE
MI
Enumeration date
02/28/2007
Last updated
03/01/2024
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