| Opal Holistic Health, Pllc | |
|
124 Pearl St Ste 205 Ypsilanti MI 48197-5374 | |
| (904) 540-7855 | |
| Not Available |
| Full Name | Opal Holistic Health, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 124 Pearl St Ste 205, Ypsilanti, Michigan |
| Authorized Official Name and Position | Radha K Bhatt (BUSINESS OWNER) |
| Authorized Official Contact | 9045407855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Holistic Health, Pllc 124 Pearl St Ste 205 Ypsilanti MI 48197-5374 Ph: (904) 540-7855 | Opal Holistic Health, Pllc 124 Pearl St Ste 205 Ypsilanti MI 48197-5374 Ph: (904) 540-7855 |
| NPI Number | 1396486452 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 08/13/2022 |
| Certification Date | 08/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396486452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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