| Holding Space Therapeutic Collective, Pllc | |
|
3200 Greenfield Rd Dearborn MI 48120 | |
| (248) 617-1001 | |
| Not Available |
| Full Name | Holding Space Therapeutic Collective, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3200 Greenfield Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Alexis Mitchell (CEO/ LEAD CLINICIAN) |
| Authorized Official Contact | 2486171001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holding Space Therapeutic Collective, Pllc 23131 Michigan Ave # 1169 Dearborn MI 48124-2020 Ph: (248) 617-1001 | Holding Space Therapeutic Collective, Pllc 3200 Greenfield Rd Dearborn MI 48120 Ph: (248) 617-1001 |
| NPI Number | 1558103457 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558103457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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