| Life Restoration Counseling & Psychological Services | |
|
525 E Big Beaver Rd Ste 201 Troy MI 48083-1363 | |
| (248) 709-3897 | |
| (248) 828-6364 |
| Full Name | Life Restoration Counseling & Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 525 E Big Beaver Rd Ste 201, Troy, Michigan |
| Authorized Official Name and Position | Shelley A Taglione (BILLING CEO) |
| Authorized Official Contact | 7344140754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Restoration Counseling & Psychological Services 6489 Shoreline Dr Troy MI 48085-1048 Ph: (248) 709-3897 | Life Restoration Counseling & Psychological Services 525 E Big Beaver Rd Ste 201 Troy MI 48083-1363 Ph: (248) 709-3897 |
| NPI Number | 1558879270 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558879270 | NPI | - | NPPES |
| 103T00000X | Other | TAXONOMY | |
| 1992124390 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301009751 (Michigan) | Primary |
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