MEDICARE: BEHAVIORAL CARE MANAGEMENT

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1649327263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL CARE MANAGEMENT

Provider Business Mailing Address
First Line	:	30785 STEPHENSON HWY
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-616-9682
Fax Number	:	248-616-9684

Provider Business Practice Location Address
First Line	:	30785 STEPHENSON HWY
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1618
Country	:	US
Telephone Number	:	248-616-9682
Fax Number	:	248-616-9684

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MARA LIPKOWITZ
Credential	:	L.M.S.W.
Telephone Number	:	248-616-9682

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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