| Mental Wellness Restored | |
|
30550 Gratiot Ave Unit 77 Roseville MI 48066-6704 | |
| (248) 579-5560 | |
| Not Available |
| Full Name | Mental Wellness Restored |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30550 Gratiot Ave Unit 77, Roseville, Michigan |
| Authorized Official Name and Position | Tashara Cooper (CEO/CLINICAL THERAPIST) |
| Authorized Official Contact | 2485795560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Restored 14943 E 9 Mile Rd Unit 175 Eastpointe MI 48021-2147 Ph: () - | Mental Wellness Restored 30550 Gratiot Ave Unit 77 Roseville MI 48066-6704 Ph: (248) 579-5560 |
| NPI Number | 1407407125 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407407125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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