Healthcare Provider Details

I. General information

NPI: 1689006975
Provider Name (Legal Business Name): ARAB AMERICAN AND CHALDEAN COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date: 02/11/2015
Reactivation Date: 04/20/2015

III. Provider practice location address

363 W BIG BEAVER RD STE 315
TROY MI
48084-5242
US

IV. Provider business mailing address

363 W BIG BEAVER RD STE 315
TROY MI
48084-5242
US

V. Phone/Fax

Practice location:
  • Phone: 248-354-8460
  • Fax: 248-354-4979
Mailing address:
  • Phone: 248-354-8460
  • Fax: 248-354-4979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN SARAFA
Title or Position: DIRECTOR OF BEHAVIORAL HEALTH
Credential: MA, LPC
Phone: 313-893-6172