1073647731 BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC
- Enumeration Date
- March 15, 2007
- Last Update
- October 28, 2008
- Authorized Official
- MS. BARBARA ANN ELISABETH TYSELL
ADMINISTRATIVE DIRECTOR
Phone: (248) 559-0730
Practice Location
- Address
- 17352 W 12 MILE RD
SUITE 100
SOUTHFIELD, MI 480762119 - Phone
- (248) 559-0730
- Fax
- (248) 569-7626
Mailing Address
- Address
- 17352 W 12 MILE RD
SUITE 100
SOUTHFIELD, MI 480762119 - Phone
- (248) 559-0730
- Fax
- (248) 569-7626
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Counselor | 101Y00000X | Counselor | N/A | N/A | No |
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | N/A | N/A | No |
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | No |
| Psychologist | 103T00000X | Psychologist | N/A | N/A | No |
| Clinical Psychologist Clinical | 103TC0700X | Psychologist | N/A | N/A | No |
| Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 103TC2200X | Psychologist | N/A | N/A | No |
| Clinical Social Worker Clinical | 1041C0700X | Social Worker | N/A | N/A | No |
| Marriage & Family Therapist | 106H00000X | Marriage & Family Therapist | N/A | N/A | No |
| Psychiatry Physician Psychiatry | 2084P0800X | Psychiatry & Neurology | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | 630534 | MI | No |
| Psychoanalysis Psychologist Psychoanalysis | 103TP0814X | Psychologist | N/A | N/A | No |
| Professional Counselor Professional | 101YP2500X | Counselor | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | 630534 | MI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 750910921 | 01 | MI | BCBS TRADITIONAL CODE |
| 20700 | 01 | MI | BCBS SUB AB AND MGD CARE |
| 7509109210 | 01 | MI | BCBS NASCO IDENTIFIER |
| 1316097488 | 01 | MI | NPPESJAMES A. COWLEY NPI |
| 26 0 F3 2684 0 | 01 | MI | NASCO GROUP TRACKING ID |
| 38314498 | 01 | MI | HAP PROVIDER ID |
| 7509109210 | 01 | MI | VALUEOPTIONS |
| 0911921 | 01 | MI | BCBS PROVIDER ID MDS |
| 0913921 | 01 | MI | BCBS PROVIDER ID MASTERS |
| 630534 | 01 | MI | STATE SUBSTANCE ABUSE LIC |
| 0912921 | 01 | MI | BCBS PROVIDER ID PHDS |
| 10921 | 01 | MI | BCBS MANAGED CARE CODE |
| F037350 | 01 | MI | WEB DENIS IDENTIFIER |
| 187925000 | 01 | MI | MAGELLAN IDENTIFIER |
| 0910921 | 01 | MI | BCBS OF MICHIGAN |
| 125750 | 01 | MI | VALUE OPTIONS PROVIDER ID |
| P69427 | 01 | MI | BLUE CARE NETWORK PIN |
Frequently Asked Questions
What is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's NPI number?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's NPI number is 1073647731.
Which doctor has NPI number 1073647731?
The doctor with NPI number 1073647731 is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC.
What is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's practice address?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's practice address is 17352 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI, 480762119.
Which doctor practices at 17352 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI, 480762119?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC practices at 17352 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI, 480762119.
What is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's phone number?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's phone number is (248) 559-0730.
Who is (248) 559-0730?
(248) 559-0730 is the phone number for BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC.
What is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's specialty?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC a Mental Health (Including Community Mental Health Center)?
Yes, BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC is a Mental Health (Including Community Mental Health Center).
Is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC still practicing?
Yes, BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC is currently practicing.
Is BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC accepting new patients?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC may be accepting new patients. Please call their office at (248) 559-0730 to inquire about availability.
Is NPI 1073647731 still active?
Yes, NPI 1073647731 is currently active.
Where does BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC practice?
BURDETTE AND DOSS PSYCHOLOGICAL SERVICES LC practices in SOUTHFIELD, MI.