The Kind Therapy | |
22511 Telegraph Rd Ste 222 Southfield MI 48033-4108 | |
(313) 314-3309 | |
Not Available |
Full Name | The Kind Therapy |
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Speciality | Social Worker |
Location | 22511 Telegraph Rd Ste 222, Southfield, Michigan |
Authorized Official Name and Position | Dominique Hamilton (CEO/ PRESIDENT) |
Authorized Official Contact | 3137017157 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Kind Therapy 22333 Leewright Ave Ste 222 Southfield MI 48033-3963 Ph: (313) 701-7157 | The Kind Therapy 22511 Telegraph Rd Ste 222 Southfield MI 48033-4108 Ph: (313) 314-3309 |
NPI Number | 1013770718 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Medicare PECOS PAC ID | 8527408186 |
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Medicare Enrollment ID | O20240430000477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013770718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Dominique Hamilton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649647611 PECOS PAC ID: 4981022183 Enrollment ID: I20200921002260 |
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