| Change Your Destiny Counseling Llc | |
|
2000 Town Ctr Ste 1900 Southfield MI 48075-1152 | |
| (248) 733-5142 | |
| Not Available |
| Full Name | Change Your Destiny Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2000 Town Ctr Ste 1900, Southfield, Michigan |
| Authorized Official Name and Position | Marlina Brown (LPC) |
| Authorized Official Contact | 3135440199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Your Destiny Counseling Llc 8913 Gabriel St Romulus MI 48174-4133 Ph: () - | Change Your Destiny Counseling Llc 2000 Town Ctr Ste 1900 Southfield MI 48075-1152 Ph: (248) 733-5142 |
| NPI Number | 1033633300 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 07/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033633300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401012941 (Michigan) | Primary |
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