Organization
SHIMMEL COUNSELING AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SHIMMEL MA, LLPC (OWNER/COUNSELOR)
(248) 821-2981
Entity
Organization
Contact information
Practice address
950 E MAPLE RD STE 122, BIRMINGHAM, MI 48009-6408
(248) 821-2981
Mailing address
2329 HARVARD RD, BERKLEY, MI 48072-1751
(248) 821-2981
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6401012954
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6401012954
MI
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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