MEDICARE: A.B. COUNSELING SOLUTIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6802076104	MI

General Provider Information

NPI Number	:	1942380951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.B. COUNSELING SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	5717 MCMILLAN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2432
Country	:	US
Telephone Number	:	313-523-4300
Fax Number	:	313-274-0110

Provider Business Practice Location Address
First Line	:	5717 MCMILLAN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2432
Country	:	US
Telephone Number	:	313-523-4300
Fax Number	:	313-274-0110

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS LINDA BAZZY
Credential	:	MSW
Telephone Number	:	313-523-4300

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/22/2020

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