MEDICARE: CBC 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	6801064039	MI

General Provider Information

NPI Number	:	1851511760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CBC SERVICES LLC

Provider Business Mailing Address
First Line	:	124 PEARL ST
Second Line	:	SUITE 308
City	:	YPSILANTI
State	:	MI
Zip	:	48197-2663
Country	:	US
Telephone Number	:	734-485-8527
Fax Number	:	734-629-0563

Provider Business Practice Location Address
First Line	:	124 PEARL ST
Second Line	:	SUITE 308
City	:	YPSILANTI
State	:	MI
Zip	:	48197-2663
Country	:	US
Telephone Number	:	734-485-8527
Fax Number	:	734-629-0563

Authorized Official
Title or Position	:	OWNER PRINCIPLE PARTNER
Name	:	MS. CELESTINE ANNETT SANDERS
Credential	:	LMSW
Telephone Number	:	734-485-8527

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	03/05/2014

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Directions to “CBC SERVICES LLC ” Practice Location

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