institution
Brookside Services, Pllc
Mental Health Counselor in Pontiac, Michigan
NPI 1013056563

Brookside Services, Pllc is a Mental Health Counselor based in Pontiac, MI and is specialized in Mental Health. Brookside Services, Pllc practices in Pontiac, MI. The NPI Number for Brookside Services, Pllc is 1013056563 and holds a License No. 6801073653 (Michigan).

The current practice location address for Brookside Services, Pllc is 55 E Iroquois Rd, Pontiac, MI and can be reached out via phone at 248-390-5919.

Location: 55 E Iroquois Rd, Pontiac, MI, 48343-0355
institution
Provider Profile Details
NPI Number
1013056563
Provider Name
Brookside Services, Pllc
Credential
Provider Entity Type
Organization
Address
55 E Iroquois Rd, Pontiac, MI, 48343-0355
Phone Number
248-390-5919
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 01 MI SSN OF SOLE PROPRIETOR
6801073653 01 MI STATE CLINICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
55 E Iroquois Rd
City
State
Zip
48341-2016
Phone Number
248-390-5919
Fax Number
person
Provider Business Mailing Address Details
Address
55 E Iroquois Rd
City
State
Zip
48341-2016
Phone Number
248-390-5919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6801073653 (Michigan)
Definition
Definition to come...
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