MEDICARE: MENTAL HEALTH SERVICES PLLC

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	261QM0850X	Adult Mental Health Clinic/Center	6301001838	MI

General Provider Information

NPI Number	:	1235620477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH SERVICES PLLC

Provider Business Mailing Address
First Line	:	24477 BUCHANAN CT # 1887
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2161
Country	:	US
Telephone Number	:	248-474-2763
Fax Number	:	734-207-5326

Provider Business Practice Location Address
First Line	:	24477 BUCHANAN CT # 1887
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2161
Country	:	US
Telephone Number	:	248-474-2763
Fax Number	:	734-207-5326

Authorized Official
Title or Position	:	LLP/OWNER
Name	:	LEONARD MCCULLOCH
Credential	:	LLP
Telephone Number	:	248-474-2763

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	05/23/2018

Similar Medicare Providers

1629298286 — MR. LEONARD MCCULLOCH
Practice Location Address:

24477 BUCHANAN CT APT 1887
FARMINGTON HILLS, MI
48335-2161

Practice Phone: 248-476-9329
Practice Fax: 248-476-4990

1912480682 — OUR MENTAL HEALTH PLLC
Practice Location Address:

24477 BUCHANAN CT APT 1887
FARMINGTON HILLS, MI
48335-2161

Practice Phone: 248-474-8763
Practice Fax: 734-207-5326

1356982896 — MICHELLE RENEE NASH FNP-BC
Practice Location Address:

705 GRAND CANYON DR
FARMINGTON, MO
63640-2161

Practice Phone: 573-756-8911
Practice Fax: 573-315-3824

1578560462 — BHM MEDICAL FACILITIES, LLC
Practice Location Address:

705 GRAND CANYON DR
FARMINGTON, MO
63640-2161

Practice Phone: 573-756-8911
Practice Fax:

1760984587 — OPCO FARMINGTON, MO, LLC
Practice Location Address:

705 GRAND CANYON DR
FARMINGTON, MO
63640-2161

Practice Phone: 573-756-8911
Practice Fax:

1043889678 — CAMELOT HEALTHCARE, LLC
Practice Location Address:

705 GRAND CANYON DR
FARMINGTON, MO
63640-2161

Practice Phone: 573-756-8911
Practice Fax:

Directions to “MENTAL HEALTH SERVICES PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.