| Breaking Dawn Therapy Pllc | |
|
13590 Chester Ct Belleville MI 48111-2494 | |
| (734) 560-4981 | |
| Not Available |
| Full Name | Breaking Dawn Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13590 Chester Ct, Belleville, Michigan |
| Authorized Official Name and Position | Kristen Marie Stewart (THERAPIST) |
| Authorized Official Contact | 7344571253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Dawn Therapy Pllc 13590 Chester Ct Belleville MI 48111-2494 Ph: (734) 560-4981 | Breaking Dawn Therapy Pllc 13590 Chester Ct Belleville MI 48111-2494 Ph: (734) 560-4981 |
| NPI Number | 1588268890 |
|---|---|
| Provider Enumeration Date | 11/27/2020 |
| Last Update Date | 11/27/2020 |
| Certification Date | 11/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588268890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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