| Intentional Healing | |
|
24100 Southfield Rd Southfield MI 48075-2819 | |
| (248) 469-4064 | |
| Not Available |
| Full Name | Intentional Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24100 Southfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Brittany Charelle-lenae Jones (CLINICIAN) |
| Authorized Official Contact | 2484694064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Healing 24100 Southfield Rd Southfield MI 48075-2819 Ph: (248) 469-4064 | Intentional Healing 24100 Southfield Rd Southfield MI 48075-2819 Ph: (248) 469-4064 |
| NPI Number | 1245907757 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245907757 | NPI | - | NPPES |
| 1417574989 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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