| Orchid Core Voc Rehab Llc | |
|
16250 Northland Dr Ste 325 Southfield MI 48075-5219 | |
| (248) 841-0448 | |
| Not Available |
| Full Name | Orchid Core Voc Rehab Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16250 Northland Dr Ste 325, Southfield, Michigan |
| Authorized Official Name and Position | Tamara Lynette White (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Authorized Official Contact | 3135886671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchid Core Voc Rehab Llc Po Box 27716 Detroit MI 48227-0716 Ph: (313) 588-6671 | Orchid Core Voc Rehab Llc 16250 Northland Dr Ste 325 Southfield MI 48075-5219 Ph: (248) 841-0448 |
| NPI Number | 1316555998 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316555998 | NPI | - | NPPES |
| 1194250837 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
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