Shimmel Counseling Agency, LLC
Clinic/Center, Adult Mental Health in Birmingham, MI. Organization (NPI-2).
NPI number1982132247
StatusActive
Last updated in NPPESMay 31, 2017
Details
- NPI
- 1982132247
- Entity type
- Organization (NPI-2)
- Legal business name
- Shimmel Counseling Agency, LLC
- Organization subpart
- No
- Enumeration date
- May 31, 2017
- Last updated
- May 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 6401012954 | MI | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 6401012954 | MI |
Practice location
950 E Maple Rd Ste 122Birmingham, MI 48009-6408
Phone 248-821-2981
Mailing address
2329 Harvard RdBerkley, MI 48072-1751
Phone 248-821-2981
Authorized official
Douglas Shimmel
Owner/Counselor
2488212981
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