| Sacred Life Counseling, Pllc | |
|
53505 Van Dyke Ave Shelby Township MI 48316-1861 | |
| (586) 580-1752 | |
| Not Available |
| Full Name | Sacred Life Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 53505 Van Dyke Ave, Shelby Township, Michigan |
| Authorized Official Name and Position | Rachel Sullivan (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 5865801752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Life Counseling, Pllc 53505 Van Dyke Ave Shelby Township MI 48316-1861 Ph: (586) 580-1752 | Sacred Life Counseling, Pllc 53505 Van Dyke Ave Shelby Township MI 48316-1861 Ph: (586) 580-1752 |
| NPI Number | 1659015352 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659015352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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