MEDICARE: ACCESS BEHAVIORAL HEALTH CARE AND ASSOCIATES 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1639853500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS BEHAVIORAL HEALTH CARE AND ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	4750 HARDWOODS DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2636
Country	:	US
Telephone Number	:	248-563-6802
Fax Number	:	734-453-5619

Provider Business Practice Location Address
First Line	:	4750 HARDWOODS DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2636
Country	:	US
Telephone Number	:	248-563-6802
Fax Number	:	734-453-5619

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARC SILVERSTONE
Credential	:	PHD
Telephone Number	:	248-563-6802

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	06/12/2023

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