| Bright White Wave Healing Center | |
|
96 Lyndon Cir Oakland MI 48363-1322 | |
| (248) 766-2036 | |
| Not Available |
| Full Name | Bright White Wave Healing Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 96 Lyndon Cir, Oakland, Michigan |
| Authorized Official Name and Position | Genevieve Taylor (DIRECTOR) |
| Authorized Official Contact | 2487662036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright White Wave Healing Center 96 Lyndon Cir Oakland MI 48363-1322 Ph: () - | Bright White Wave Healing Center 96 Lyndon Cir Oakland MI 48363-1322 Ph: (248) 766-2036 |
| NPI Number | 1578118980 |
|---|---|
| Provider Enumeration Date | 08/04/2019 |
| Last Update Date | 08/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578118980 | NPI | - | NPPES |
| 1295079689 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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