Doluge Behavioral Services Pllc

LBN: Doluge Behavioral Services Pllc
Doluge Behavioral Services Pllc is an health care organization with primary practice located at 220 W Congress St 2Nd Floor, Detroit MI 48226-3289. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as the primary health care specialty. Doluge Behavioral Services Pllc can be contacted via phone (313) 963-4979, or through Jackson, Gloria via phone (313) 963-4979.

Contact Information

Primary practice address
220 W Congress St 2Nd Floor Detroit MI 48226-3289
Phone: (313) 963-4979
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Gloria MSW
Phone: (313) 963-4979

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801019214 Michigan

Profile Details

NPI number 1902086218
LBN Legal business name Doluge Behavioral Services Pllc
DBA Doing business as
Authorized official Jackson, Gloria MSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2007
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902086218 NPPES
Michigan Other 8008971660 BLUE CROSS

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