THERESA CALLARD-MOORE, ACSW
NPI 1174706048
Clinic/Center - Adult Mental Health in Swartz Creek, MI

Active since December 13, 2007
6199 MILLER RD, SUITE A, SWARTZ CREEK, MI 48473(810) 630-0904 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theresa Callard-moore, Acsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA CALLARD-MOORE, ACSW (NPI 1174706048) is a healthcare organization registered as an adult mental health in Swartz Creek, Michigan and active in the NPI registry since December 2007. The organization lists Theresa Marie Callard-moore, President, as its authorized official.

NPPES Registry Identity

NPI1174706048
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSHANTI COUNSELING SERVICES, LLC
Location Address6199 MILLER RD, SUITE ASwartz Creek, MI 48473-1585
Mailing Address6199 Miller Rd, Suite ASwartz Creek, MI 48473-1585 · (810) 630-0904
Organization SubpartNo
Authorized OfficialTheresa Marie Callard-moorePresident · (810) 630-0904
Enumeration DateDecember 13, 2007
NPI 1174706048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in MI · 6801067098
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

6199 MILLER RD, Swartz Creek, MI 48473

Other Names 1

Other NameTheresa Callard-moore, Acsw

Other Identifiers 3

Other8008976950MI · Blue Cross Blue Shield
Other1235158627MI · Npi
Medicare PINON94700MI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
6199 MILLER RD, SUITE B
SWARTZ CREEK, MI 48473
Social Worker (Clinical)
6199 MILLER RD, SUITE A
SWARTZ CREEK, MI 48473
Counselor (Professional)
6199 MILLER RD
SWARTZ CREEK, MI 48473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174706048, enumerated as an "organization" on December 13, 2007.

The provider is located at 6199 MILLER RD SUITE A SWARTZ CREEK, MI 48473 and the phone number is (810) 630-0904.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.