| Carmen Rebecca, Llc | |
|
1777 Axtell Dr Ste 100 Troy MI 48084-4400 | |
| (248) 480-3510 | |
| Not Available |
| Full Name | Carmen Rebecca, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1777 Axtell Dr Ste 100, Troy, Michigan |
| Authorized Official Name and Position | Carmen Rebecca Sollars (OWNER) |
| Authorized Official Contact | 2484803510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Rebecca, Llc 42160 Woodward Ave Unit 90 Bloomfield Hills MI 48304-5161 Ph: (248) 480-3510 | Carmen Rebecca, Llc 1777 Axtell Dr Ste 100 Troy MI 48084-4400 Ph: (248) 480-3510 |
| NPI Number | 1811724438 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811724438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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