Provider Demographics
NPI:1043258734
Name:PERCEPTIONS COUNSELING SERVICES, P.C.
Entity Type:Organization
Organization Name:PERCEPTIONS COUNSELING SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:LONGWORTH-BEATTIE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:586-465-4444
Mailing Address - Street 1:116 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-5674
Mailing Address - Country:US
Mailing Address - Phone:586-465-4444
Mailing Address - Fax:586-783-2761
Practice Address - Street 1:116 MARKET ST
Practice Address - Street 2:
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-5674
Practice Address - Country:US
Practice Address - Phone:586-465-4444
Practice Address - Fax:586-783-2761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP10E017180OtherBCBS GROUP PRACTICE NUMBE
MIP10E017180OtherBCBS GROUP PRACTICE NUMBE