| Purposeful Moments | |
|
17336 W 12 Mile Rd Ste 104 Southfield MI 48076-2113 | |
| (313) 706-6306 | |
| Not Available |
| Full Name | Purposeful Moments |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17336 W 12 Mile Rd Ste 104, Southfield, Michigan |
| Authorized Official Name and Position | Crystal Joann Mosby (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3137066306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Moments 17336 W 12 Mile Rd Ste 104 Southfield MI 48076-2113 Ph: (313) 706-6306 | Purposeful Moments 17336 W 12 Mile Rd Ste 104 Southfield MI 48076-2113 Ph: (313) 706-6306 |
| NPI Number | 1205420429 |
|---|---|
| Provider Enumeration Date | 02/28/2021 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205420429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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