| Innerrise Therapy Llc | |
|
23077 Greenfield Rd Ste 455 Southfield MI 48075-3740 | |
| (248) 973-7646 | |
| Not Available |
| Full Name | Innerrise Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 23077 Greenfield Rd Ste 455, Southfield, Michigan |
| Authorized Official Name and Position | Alexander Ivory (CLINICAL MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2489737646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerrise Therapy Llc 23077 Greenfield Rd Suite 455 Pmb #1031 Southfield MI 48075 Ph: (248) 973-7646 | Innerrise Therapy Llc 23077 Greenfield Rd Ste 455 Southfield MI 48075-3740 Ph: (248) 973-7646 |
| NPI Number | 1720893894 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720893894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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