Burdette 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
Professional
Secondary
Psychologist
Secondary
Clinical
Secondary
Clinical Child & Adolescent
Secondary
Psychoanalysis
Secondary
Clinical
Secondary
Marriage & Family Therapist
Secondary
Psychiatry
Secondary
Rehabilitation, Substance Use Disorder
630534
Michigan
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.