| Authentic Self Therapeutic Services, Llc | |
|
4200 Rochester Rd Apt 207 Royal Oak MI 48073-2736 | |
| (248) 206-5919 | |
| Not Available |
| Full Name | Authentic Self Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4200 Rochester Rd Apt 207, Royal Oak, Michigan |
| Authorized Official Name and Position | Hope Marie Doucet (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 2482065919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Self Therapeutic Services, Llc 4200 Rochester Rd Apt 207 Royal Oak MI 48073-2736 Ph: (248) 206-5919 | Authentic Self Therapeutic Services, Llc 4200 Rochester Rd Apt 207 Royal Oak MI 48073-2736 Ph: (248) 206-5919 |
| NPI Number | 1508521378 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508521378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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