Provider Demographics
NPI:1689006975
Name:ARAB AMERICAN AND CHALDEAN COUNCIL
Entity Type:Organization
Organization Name:ARAB AMERICAN AND CHALDEAN COUNCIL
Other - Org Name:ACC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BEHAVIORAL HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAFA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:313-893-6172
Mailing Address - Street 1:363 W BIG BEAVER RD STE 315
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-5242
Mailing Address - Country:US
Mailing Address - Phone:248-354-8460
Mailing Address - Fax:248-354-4979
Practice Address - Street 1:363 W BIG BEAVER RD STE 315
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-5242
Practice Address - Country:US
Practice Address - Phone:248-354-8460
Practice Address - Fax:248-354-4979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2021-09-02
Deactivation Date:2015-02-11
Deactivation Code:
Reactivation Date:2015-04-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3434247.Medicaid