| Soul Growth Psychological Services, Pllc | |
|
3760 Sleeth Rd Commerce Twp MI 48382-1670 | |
| (248) 840-5933 | |
| Not Available |
| Full Name | Soul Growth Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3760 Sleeth Rd, Commerce Twp, Michigan |
| Authorized Official Name and Position | Elizabeth J Tupling (PRESIDENT) |
| Authorized Official Contact | 2488405933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Growth Psychological Services, Pllc 3760 Sleeth Rd Commerce Twp MI 48382-1670 Ph: (248) 840-5933 | Soul Growth Psychological Services, Pllc 3760 Sleeth Rd Commerce Twp MI 48382-1670 Ph: (248) 840-5933 |
| NPI Number | 1982246286 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982246286 | NPI | - | NPPES |
| 1639592785 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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