Burdette And Doss Psychological Services Lc
Counselor Clinic
17352 W 12 Mile Rd, Suite 100, Southfield
Michigan, 48076-2119
248-559-0730 248-569-7626
Maps & DirectionsBurdette And Doss Psychological Services Lc is a Counselor Clinic in Southfield, Michigan. It is located at 17352 W 12 Mile Rd, Suite 100, Southfield, MI and its contact number is 248-559-0730. The authorized person for Burdette And Doss Psychological Services Lc is Ms. Barbara Ann Elisabeth Tysell
who is Administrative Director of the clinic and his/her contact number is 248-559-0730. The primary license number for Burdette And Doss Psychological Services Lc is 630534 (Mental Health (Including Community Mental Health Center)) in Michigan.
Burdette And Doss Psychological Services Lc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Burdette And Doss Psychological Services Lc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Burdette And Doss Psychological Services Lc |
| Specialization: | Counselor |
| Clinic Address: | 17352 W 12 Mile Rd, Suite 100, Southfield,
Michigan, 48076-2119 |
| Phone: | 248-559-0730 |
| Fax: | 248-569-7626 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Barbara Ann Elisabeth Tysell |
| Position: | Administrative Director |
| Contact Number: | 248-559-0730 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Burdette And Doss Psychological Services Lc clinic are as mentioned below.
| NPI Number: | 1073647731 |
| NPI Enumeration Date: | 15 Mar, 2007 |
| NPI Last Update On: | 28 Oct, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Burdette And Doss Psychological Services Lc are as mentioned below.
| Specialization | License Number | State | Status | |
| Mental Health (Including Community Mental Health Center) | 630534 | Michigan | Primary | |
| Counselor | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Mental Health | | | Secondary | |
| Psychologist | | | Secondary | |
| Clinical | | | Secondary | |
| Clinical Child & Adolescent | | | Secondary | |
| Clinical | | | Secondary | |
| Marriage & Family Therapist | | | Secondary | |
| Psychiatry | | | Secondary | |
| Rehabilitation, Substance Use Disorder | 630534 | Michigan | Secondary | |
| Psychoanalysis | | | Secondary | |
| Professional | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 750910921 | Other | Michigan | Bcbs Traditional Code |
| 20700 | Other | Michigan | Bcbs Sub Ab And Mgd Care |
| 7509109210 | Other | Michigan | Bcbs Nasco Identifier |
| 1316097488 | Other | Michigan | Nppesjames A. Cowley Npi |
| 26 0 F3 2684 0 | Other | Michigan | Nasco Group Tracking Id |
| 38314498 | Other | Michigan | Hap Provider Id |
| 7509109210 | Other | Michigan | Valueoptions |
| 0911921 | Other | Michigan | Bcbs Provider Id Mds |
| 0913921 | Other | Michigan | Bcbs Provider Id Masters |
| 630534 | Other | Michigan | State Substance Abuse Lic |
| 0912921 | Other | Michigan | Bcbs Provider Id Phds |
| 10921 | Other | Michigan | Bcbs Managed Care Code |
| F037350 | Other | Michigan | Web Denis Identifier |
| 187925000 | Other | Michigan | Magellan Identifier |
| 0910921 | Other | Michigan | Bcbs Of Michigan |
| 125750 | Other | Michigan | Value Options Provider Id |
| P69427 | Other | Michigan | Blue Care Network Pin |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Burdette And Doss Psychological Services Lc
17352 W 12 Mile Rd, Suite 100
Southfield, Michigan |
| Zip: | 48076-2119 |
| Phone Number: | 248-559-0730 |
| Fax Number: | 248-569-7626 |
Patients can reach Burdette And Doss Psychological Services Lc at
17352 W 12 Mile Rd, Suite 100, Southfield, Michigan or can
call to book an appointment on 248-559-0730.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.