| Ideal Psychology Group Llc | |
|
888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 | |
| (248) 660-9454 | |
| Not Available |
| Full Name | Ideal Psychology Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 888 W Big Beaver Rd Ste 780, Troy, Michigan |
| Authorized Official Name and Position | Megan Ortega (OWNER) |
| Authorized Official Contact | 2486609454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Psychology Group Llc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 660-9454 | Ideal Psychology Group Llc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 660-9454 |
| NPI Number | 1790472603 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790472603 | NPI | - | NPPES |
| 1841675055 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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