Shining Well Counseling Llc | |
22275 Chelsea Ln Novi MI 48375-4029 | |
(248) 629-0045 | |
Not Available |
Full Name | Shining Well Counseling Llc |
---|---|
Speciality | Counselor |
Location | 22275 Chelsea Ln, Novi, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shining Well Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Shining Well Counseling Llc 22275 Chelsea Ln Novi MI 48375-4029 Ph: (248) 629-0045 |
NPI Number | 1972326452 |
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Provider Enumeration Date | 11/04/2024 |
Last Update Date | 11/04/2024 |
Certification Date | 11/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972326452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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