Provider Demographics
NPI:1437669314
Name:BEHAVIORAL & SOCIAL SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:BEHAVIORAL & SOCIAL SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STACHIW
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-770-1849
Mailing Address - Street 1:1685 RIVERSIDE DR APT 9
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-2717
Mailing Address - Country:US
Mailing Address - Phone:248-770-1849
Mailing Address - Fax:
Practice Address - Street 1:108 W PARK ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2163
Practice Address - Country:US
Practice Address - Phone:248-770-1849
Practice Address - Fax:248-770-1849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010718821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty