SECRETKEEPERS PLLC


Address: 311 S Gratiot Ave, Mount Clemens, MI 48043-2480
Phone: 5869092761

SECRETKEEPERS PLLC (NPI# 1952808545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952808545
Entity Type Organization
Organization Name SECRETKEEPERS PLLC
Other Organization Name ADVANCED PROFESSIONAL COUNSELING AND EVALUATIONS
Practice Address 311 S Gratiot Ave
Mount Clemens
MI 48043-2480
Practice Telephone 5869092761
Enumeration Date 2018-04-10
Last Update Date 2018-04-10
Authorized Official Name CARRIE ANNE RYAN (OWNER)
Authorized Official Telephone 5869092761
Authorized Official Credential LPC, CAADC
Is Organization Subpart Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Advanced Professional Counseling and Evaluations Doing Business As Name - Organization

Office Location

Street Address 311 S GRATIOT AVE
City MOUNT CLEMENS
State MI
Zip Code 48043-2480

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1730669706 Wynn A Mitchell Case Manager/Care Coordinator 24 Hubbard St, Mount Clemens, MI 48043 2018-08-18
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City MOUNT CLEMENS
Zip Code 48043

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Dataset Information

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.

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