| Convo Wellness Llc | |
|
10167 Graham Drive Clarkston MI 48348 | |
| (248) 805-1764 | |
| Not Available |
| Full Name | Convo Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 10167 Graham Drive, Clarkston, Michigan |
| Authorized Official Name and Position | Julian Prosser (CEO) |
| Authorized Official Contact | 2484595833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Convo Wellness Llc 10167 Graham Drive Clarkston MI 48348 Ph: () - | Convo Wellness Llc 10167 Graham Drive Clarkston MI 48348 Ph: (248) 805-1764 |
| NPI Number | 1184333130 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184333130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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