Burdette And Doss Psychological Services Lc

LBN: Burdette And Doss Psychological Services Lc
Burdette And Doss Psychological Services Lc is an health care organization with primary practice located at 17352 W 12 Mile Rd Suite 100, Southfield MI 48076-2119. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Burdette And Doss Psychological Services Lc can be contacted via phone (248) 559-0730, or through Tysell, Barbara Ann Elisabeth via phone (248) 559-0730.

Contact Information

Primary practice address
17352 W 12 Mile Rd Suite 100 Southfield MI 48076-2119
Phone: (248) 559-0730
Fax: (248) 569-7626
Website:
Map and Directions
Authorized official contact:
Name: Tysell, Barbara Ann Elisabeth
Phone: (248) 559-0730

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 630534 Michigan
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 630534 Michigan

Profile Details

NPI number 1073647731
LBN Legal business name Burdette And Doss Psychological Services Lc
DBA Doing business as
Authorized official Tysell, Barbara Ann Elisabeth
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 28th, 2008 - about 16 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 1073647731 NPPES
Michigan Other 750910921 BCBS TRADITIONAL CODE
Michigan Other 20700 BCBS TRADITIONAL CODE
Michigan Other 7509109210 BCBS TRADITIONAL CODE
Michigan Other 1316097488 BCBS TRADITIONAL CODE
Michigan Other 26 0 F3 2684 0 BCBS TRADITIONAL CODE
Michigan Other 38314498 BCBS TRADITIONAL CODE
Michigan Other 7509109210 BCBS TRADITIONAL CODE
Michigan Other 0911921 BCBS TRADITIONAL CODE
Michigan Other 0913921 BCBS TRADITIONAL CODE
Michigan Other 630534 BCBS TRADITIONAL CODE
Michigan Other 0912921 BCBS TRADITIONAL CODE
Michigan Other 10921 BCBS TRADITIONAL CODE
Michigan Other F037350 BCBS TRADITIONAL CODE
Michigan Other 187925000 BCBS TRADITIONAL CODE
Michigan Other 0910921 BCBS TRADITIONAL CODE
Michigan Other 125750 BCBS TRADITIONAL CODE
Michigan Other P69427 BCBS TRADITIONAL CODE

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