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BART ANTHONY PC

Addiction Substance Use Disorder

Bloomfield Hills, Michigan

Provider NPI: 1174511372

Organization Information:
Organization Name:  BART ANTHONY PC
Organization is not Subpart
Authorized Official:  BART  ANTHONY  PRESIDENT OWNER  248-3382988

Practice Location:
43996 WOODWARD AVE STE 101 BLOOMFIELD HILLS, MI 48302 US
Tel: 248-338-2988  Fax: 248-338-1322

Business Mailing Address:
43996 WOODWARD AVE STE 101 BLOOMFIELD HILLS, MI 48302 US
Tel: 248-338-2988  Fax: 248-338-1322

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MI631300
N101YM0800XBehavioral Health & Social Service Providers
Counselor
MI631300
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
MI631300
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
MI631300
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
MI631300
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
MI631300
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
MI631300
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
MI631300

Other Provider Identifiers:

IssuerNumberStateType
VALUE OPTIONS028363MI01
BCBSM MESSA/ MAGELLAN0911419MI01
CARE CHOICES & PREFERRED130958MI01
MHN PIN258694MI01
HEALTH PLUS PIN1063603106MI01
AETNA BEHAVIORAL HEALTH5266701MI01
BCBSM MENTAL HEALTH PIN7509104190MI01
1705289MI05
BCBSM SUBSTANCE ABUSE PIN20530MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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