| Adventurous Heart Therapy, Pllc | |
|
377 Fisher Rd Ste D-2 Grosse Pointe MI 48230-1673 | |
| (313) 355-4840 | |
| Not Available |
| Full Name | Adventurous Heart Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 377 Fisher Rd Ste D-2, Grosse Pointe, Michigan |
| Authorized Official Name and Position | Emma Ottenhoff (OWNER) |
| Authorized Official Contact | 3139172736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventurous Heart Therapy, Pllc 377 Fisher Rd Ste D-2 Grosse Pointe MI 48230-1673 Ph: () - | Adventurous Heart Therapy, Pllc 377 Fisher Rd Ste D-2 Grosse Pointe MI 48230-1673 Ph: (313) 355-4840 |
| NPI Number | 1568171460 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568171460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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