| Integrated Mental Health Professionals, Pllc | |
|
3477 Fox Woods Ct West Bloomfield MI 48324-3266 | |
| (248) 410-4793 | |
| Not Available |
| Full Name | Integrated Mental Health Professionals, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3477 Fox Woods Ct, West Bloomfield, Michigan |
| Authorized Official Name and Position | Michelle Victoria (PSYCHOLOGIST) |
| Authorized Official Contact | 2484104793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Mental Health Professionals, Pllc Po Box 252563 6725 Daly Rd West Bloomfield MI 48322-8777 Ph: (248) 410-4793 | Integrated Mental Health Professionals, Pllc 3477 Fox Woods Ct West Bloomfield MI 48324-3266 Ph: (248) 410-4793 |
| NPI Number | 1487412490 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 6901348499 |
|---|---|
| Medicare Enrollment ID | O20240612002043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487412490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michelle Renee Victoria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285094789 PECOS PAC ID: 9436441094 Enrollment ID: I20210114000986 |
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