| Healing Mind And Body Counseling, Llc | |
|
25600 Woodward Ave Ste 204 Royal Oak MI 48067 | |
| (248) 757-3282 | |
| Not Available |
| Full Name | Healing Mind And Body Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25600 Woodward Ave Ste 204, Royal Oak, Michigan |
| Authorized Official Name and Position | Tradina E Taylor (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 3134431119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Mind And Body Counseling, Llc 25600 Woodward Ave Ste 204 Royal Oak MI 48067-0945 Ph: (248) 757-3282 | Healing Mind And Body Counseling, Llc 25600 Woodward Ave Ste 204 Royal Oak MI 48067 Ph: (248) 757-3282 |
| NPI Number | 1336663913 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 4587937719 |
|---|---|
| Medicare Enrollment ID | O20171017002313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336663913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801085238 (Michigan) | Primary |
| Provider Name | Tradina Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669787271 PECOS PAC ID: 0941574289 Enrollment ID: I20170925003038 |
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