OrganizationJoseph Bavonese Phd PcCounselorBehavioral Health & Social Service ProvidersPractice Address27172 Woodward Ave, Suite Number 200, Royal Oak, MI 48067-0963(248) 546-0407PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Bavonese Phd Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174778682Provider TypeOrganizationFull NameJoseph Bavonese Phd PcSubpartNoEnumeration Date11/25/2008Last Updated5/13/2011Contact InformationPractice LocationPractice Address27172 Woodward Ave, Suite Number 200, Royal Oak, MI 48067-0963Phone(248) 546-0407Fax(248) 548-1925Mailing LocationMailing Address27172 Woodward Ave, Suite Number 200, Royal Oak, MI 48067-0963Phone(248) 546-0407Fax(248) 548-1925Authorized OfficialNameBavonese, Joe (Director)Phone(248) 546-0407Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6301007576Michigan