| New Leaf Therapy | |
|
1938 Burdette St Ferndale MI 48220-1982 | |
| (313) 652-1510 | |
| (248) 876-9454 |
| Full Name | New Leaf Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1938 Burdette St, Ferndale, Michigan |
| Authorized Official Name and Position | Jennifer K Shea (OWNER) |
| Authorized Official Contact | 3136521510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Therapy 1938 Burdette St Ferndale MI 48220-1982 Ph: (313) 652-1510 | New Leaf Therapy 1938 Burdette St Ferndale MI 48220-1982 Ph: (313) 652-1510 |
| NPI Number | 1154801322 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154801322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801097641 (Michigan) | Primary |
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