Healthcare Provider Details

I. General information

NPI: 1043258734
Provider Name (Legal Business Name): PERCEPTIONS COUNSELING SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 MARKET ST
MOUNT CLEMENS MI
48043-5674
US

IV. Provider business mailing address

116 MARKET ST
MOUNT CLEMENS MI
48043-5674
US

V. Phone/Fax

Practice location:
  • Phone: 586-465-4444
  • Fax: 586-783-2761
Mailing address:
  • Phone: 586-465-4444
  • Fax: 586-783-2761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. MELANIE MAY LONGWORTH-BEATTIE
Title or Position: OWNER-PSYCHOLOGIST
Credential: PSY.D.
Phone: 586-465-4444