| I Am Therapeutic Services Llc | |
|
32420 Concord Dr Madison Heights MI 48071-1218 | |
| (248) 636-0999 | |
| Not Available |
| Full Name | I Am Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 32420 Concord Dr, Madison Heights, Michigan |
| Authorized Official Name and Position | Lonneisha Rutherford (SOCIAL WORKER) |
| Authorized Official Contact | 2486360999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Am Therapeutic Services Llc 318 John R Rd # 203 Troy MI 48083-4542 Ph: () - | I Am Therapeutic Services Llc 32420 Concord Dr Madison Heights MI 48071-1218 Ph: (248) 636-0999 |
| NPI Number | 1306444906 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306444906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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