| Radiate Counseling, Pllc | |
|
3190 Rochester Rd Ste 106 Troy MI 48083-5464 | |
| (877) 727-4463 | |
| Not Available |
| Full Name | Radiate Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3190 Rochester Rd Ste 106, Troy, Michigan |
| Authorized Official Name and Position | Leah J Ethier (OWNER) |
| Authorized Official Contact | 2488729526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiate Counseling, Pllc 5283 Blair Dr Troy MI 48085-4034 Ph: () - | Radiate Counseling, Pllc 3190 Rochester Rd Ste 106 Troy MI 48083-5464 Ph: (877) 727-4463 |
| NPI Number | 1952871907 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952871907 | NPI | - | NPPES |
| 1780777854 | Other | NATIONAL PROVIDER IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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