| 360 Psychotherapy And Consulting Pllc | |
|
777 Livernois St Ferndale MI 48220-2306 | |
| (248) 770-6339 | |
| Not Available |
| Full Name | 360 Psychotherapy And Consulting Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 777 Livernois St, Ferndale, Michigan |
| Authorized Official Name and Position | Carrie Nantais (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2487706339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Psychotherapy And Consulting Pllc 777 Livernois St Ferndale MI 48220-2306 Ph: (248) 770-6339 | 360 Psychotherapy And Consulting Pllc 777 Livernois St Ferndale MI 48220-2306 Ph: (248) 770-6339 |
| NPI Number | 1255953162 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255953162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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