Organization
COUNSELING ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX J. GROSSBERG (ADMINISTRATOR)
(248) 626-1500
Entity
Organization
Contact information
Practice address
6960 ORCHARD LAKE RD, 100, WEST BLOOMFIELD, MI 48322-4515
(248) 626-1500
(248) 626-1551
Mailing address
6960 ORCHARD LAKE RD, 100, WEST BLOOMFIELD, MI 48322-4515
(248) 626-1500
(248) 626-1551
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175880
—
MI
Enumeration date
05/21/2012
Last updated
05/21/2012
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