Daniel M Carlock | Troy, MI • PECOS Search

Daniel M Carlock

Counselor

Behavioral Health & Social Service Providers

800 Stephenson Hwy, Suite 250, Troy, MI 48083-1123

(248) 585-3239 (586) 770-7866

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel M Carlock does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:52 AM.

Profile Details

Provider ID
1013024942
Provider Type
Individual
Full Name
Carlock, Daniel M
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/24/2006
Last Updated
1/27/2012

Contact Information

Practice Location

800 Stephenson Hwy, Suite 250, Troy, MI 48083-1123

(248) 616-9759

Mailing Location

1089 Maple Heights Dr, White Lake, MI 48386-1814

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6801063358 Michigan