| Beuplifted | |
|
15001 Kercheval Ave Pmb 527 Grosse Pointe Park MI 48230-1361 | |
| (313) 263-7245 | |
| Not Available |
| Full Name | Beuplifted |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15001 Kercheval Ave, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Shellie Crook (OWNER) |
| Authorized Official Contact | 3132637245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beuplifted 15001 Kercheval Ave Pmb 527 Grosse Pointe Park MI 48230-1361 Ph: (313) 263-7245 | Beuplifted 15001 Kercheval Ave Pmb 527 Grosse Pointe Park MI 48230-1361 Ph: (313) 263-7245 |
| NPI Number | 1093562795 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093562795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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