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23023 Orchard Lake Rd G1 Farmington MI 48336-3209 | |
| (248) 430-4224 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23023 Orchard Lake Rd, Farmington, Michigan |
| Authorized Official Name and Position | Sharon Mullins (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2484304224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1624 Mark Hopkins Rd Bloomfield Hills MI 48302-2647 Ph: (248) 430-4224 | 23023 Orchard Lake Rd G1 Farmington MI 48336-3209 Ph: (248) 430-4224 |
| NPI Number | 1144605197 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144605197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401005021 (Michigan) | Primary |
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