E Squared Behavioral Health, PLLC
Counselor, Mental Health in Grosse Pointe Park, MI. Organization (NPI-2).
NPI number1053008136
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1053008136
- Entity type
- Organization (NPI-2)
- Legal business name
- E Squared Behavioral Health, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1204 Bedford RdGrosse Pointe Park, MI 48230-1116
Phone 313-451-1685
Mailing address
1204 Bedford RdGrosse Pointe Park, MI 48230-1116
Phone 313-451-1685
Authorized official
Jason Eldred
Owner
3134511685
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All 6 Mental Health Counselor providers in Grosse Pointe Park · All 174 providers in Grosse Pointe Park
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