| Moving Thy Heart Placement Llc | |
|
17346 Cherrylawn St Detroit MI 48221-2569 | |
| (313) 603-5323 | |
| Not Available |
| Full Name | Moving Thy Heart Placement Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17346 Cherrylawn St, Detroit, Michigan |
| Authorized Official Name and Position | Lakeshia Nicole White (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3136035323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Thy Heart Placement Llc 17346 Cherrylawn St Detroit MI 48221-2569 Ph: (313) 603-5323 | Moving Thy Heart Placement Llc 17346 Cherrylawn St Detroit MI 48221-2569 Ph: (313) 603-5323 |
| NPI Number | 1164251294 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164251294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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