MEDICARE: SENIOR COUNSELING SERVICES, LLC

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	6801060566	MI
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1639283492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	37000 GRAND RIVER AVE STE 325
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2868
Country	:	US
Telephone Number	:	248-476-2229
Fax Number	:	248-476-4434

Provider Business Practice Location Address
First Line	:	37000 GRAND RIVER AVE STE 325
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2868
Country	:	US
Telephone Number	:	248-476-2229
Fax Number	:	248-476-4434

Authorized Official
Title or Position	:	CEO
Name	:	MS. MARA TOPPER
Credential	:
Telephone Number	:	248-476-2229

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	12/07/2020

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