Organization
ABARIS HEALTH
Active
Other names
Great Lakes Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LUCKI SMITH PHD (PRESIDENT)
(248) 656-8500
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 270, SHELBY TOWNSHIP, MI 48315-3140
(586) 263-1234
Mailing address
50505 SCHOENHERR RD, SUITE 270, SHELBY TOWNSHIP, MI 48315-3140
(586) 263-1234
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/09/2013
Last updated
10/15/2013
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