Organization
REPAIRER OF THE BREACH COUNSELING AND CONSULTANT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE BROOKS LCSW (LEAD CLINICIAN)
(313) 451-4239
Entity
Organization
Contact information
Practice address
319 CHANDLER ST, DETROIT, MI 48202-2857
(313) 451-4239
Mailing address
319 CHANDLER ST, DETROIT, MI 48202-2857
(313) 451-4239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184962763
NPI
—
Enumeration date
01/11/2019
Last updated
01/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us