| Moonflower Counseling | |
|
1605 E 13 Mile Rd Apt 108 Madison Heights MI 48071-5018 | |
| (586) 764-7666 | |
| Not Available |
| Full Name | Moonflower Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1605 E 13 Mile Rd Apt 108, Madison Heights, Michigan |
| Authorized Official Name and Position | Lauren Marie Waters (PROVIDER) |
| Authorized Official Contact | 5867647666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonflower Counseling 1605 E 13 Mile Rd Apt 108 Madison Heights MI 48071-5018 Ph: (586) 764-7666 | Moonflower Counseling 1605 E 13 Mile Rd Apt 108 Madison Heights MI 48071-5018 Ph: (586) 764-7666 |
| NPI Number | 1275373763 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275373763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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