| Melanated Crown Mental Health And Consulting Services | |
|
40315 Michigan Ave # 1081 Canton MI 48188-2908 | |
| (734) 431-8503 | |
| Not Available |
| Full Name | Melanated Crown Mental Health And Consulting Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40315 Michigan Ave # 1081, Canton, Michigan |
| Authorized Official Name and Position | Nerissa A Legg (OWNER) |
| Authorized Official Contact | 7344318503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanated Crown Mental Health And Consulting Services 9517 Lakeside Dr Ypsilanti MI 48197-3033 Ph: () - | Melanated Crown Mental Health And Consulting Services 40315 Michigan Ave # 1081 Canton MI 48188-2908 Ph: (734) 431-8503 |
| NPI Number | 1629746664 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629746664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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