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Organization

STARR COMMONWEALTH

Active
Other names
PsychSystems
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH A CAREY (PRESIDENT & CEO)
(517) 629-5591
Entity
Organization

Contact information

Practice address
13725 STARR COMMONWEALTH, ALBION, MI 49224-9580
(517) 629-5591
(517) 630-2572
Mailing address
13725 STARR COMMONWEALTH, ALBION, MI 49224-9580
(517) 629-5591
(517) 630-2572

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
103TA0700X
Adult Development & Aging Psychologist
103TC0700X
Clinical Psychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
1041C0700X
Clinical Social Worker
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588706915
MI
01
MI7838
PTAN
MI
Enumeration date
02/13/2007
Last updated
03/21/2019
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