Organization
ABARIS HEALTH
Active
Other names
Great Lakes Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SMITH PHD (PRESIDENT)
(248) 656-8500
Entity
Organization
Contact information
Practice address
2300 HAGGERTY RD, SUITE 2160, WEST BLOOMFIELD, MI 48323-2184
(248) 539-0899
(248) 539-0482
Mailing address
8391 COMMERCE RD, SUITE 103, COMMERCE TOWNSHIP, MI 48382-4489
(248) 363-2641
(248) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/13/2013
Last updated
10/15/2013
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