NPI 1235434614

Eagle Eye Counseling PLLC

Organisation Point of Service Clinton Twp, MI

Practice location

Address: 37565 Charter Oaks Blvd, Clinton Twp, MI 48036-4437
Phone: (586) 783-7153
Mailing address: 20836 Hall Rd Suite 184, Clinton Twp, MI 48038-7227

Authorised official

Name: Phyllis Walker
Title: Owner/Operator
Phone: (586) 783-7153

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6801034348 (MI)

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Registry record

NPI: 1235434614
Entity type: Organization
NPI issued: 17 Jan 2011
Record last updated: 23 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.