COMPASSIONATE CHRIST CENTERED COUNSELING, LLC (NPI# 1861950933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861950933 |
Entity Type | Organization |
Organization Name | COMPASSIONATE CHRIST CENTERED COUNSELING, LLC |
Practice Address |
2888 E Long Lake Rd Ste 170 Troy MI 48085-7011 |
Mailing Address |
7289 Edward Center Line MI 48015-1008 |
Practice Telephone | 2488645858 |
Mailing Telephone | 3137759802 |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-03-07 |
Authorized Official Name | MELANIE ELIZABETH BRUSS (CLINICAL THERAPIST) |
Authorized Official Telephone | 3137759802 |
Authorized Official Credential | MA, LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM1000X |
Clinic/Center Specialization: Migrant Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
2888 E LONG LAKE RD STE 170 |
City | TROY |
State | MI |
Zip Code | 48085-7011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053742379 | Melanie Elizabeth Bruss | Counselor | 2888 E Long Lake Rd Ste 170, Troy, MI 48085-7011 | 2013-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
Find all providers in zip 48085 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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1922571041 | Repairer of The Breach Counseling and Consultant Services, LLC | Clinic/Center | 319 Chandler St, Detroit, MI 48202-2857 | 2019-01-11 |
1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
1972073633 | Hidden Brook Counseling Services, Pllc | Clinic/Center | 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770-8897 | 2018-11-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.