| Blue Lyte Inc. | |
|
35115 E Michigan Ave Wayne MI 48184-1660 | |
| (248) 615-3042 | |
| (248) 615-3047 |
| Full Name | Blue Lyte Inc. |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 35115 E Michigan Ave, Wayne, Michigan |
| Authorized Official Name and Position | Phyllis Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2486153042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lyte Inc. 35115 E Michigan Ave Wayne MI 48184-1660 Ph: (248) 615-3042 | Blue Lyte Inc. 35115 E Michigan Ave Wayne MI 48184-1660 Ph: (248) 615-3042 |
| NPI Number | 1104324367 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104324367 | NPI | - | NPPES |
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