| Quilted Rose Clinical Services, Pllc | |
|
269 Walker St Ste 256 Detroit MI 48207-4258 | |
| (828) 276-2788 | |
| Not Available |
| Full Name | Quilted Rose Clinical Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 269 Walker St Ste 256, Detroit, Michigan |
| Authorized Official Name and Position | Lisa Walker (OWNER) |
| Authorized Official Contact | 3134033900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quilted Rose Clinical Services, Pllc 662 W Canfield St Apt 3 Detroit MI 48201-1140 Ph: (313) 403-3900 | Quilted Rose Clinical Services, Pllc 269 Walker St Ste 256 Detroit MI 48207-4258 Ph: (828) 276-2788 |
| NPI Number | 1952909558 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952909558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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