| Tanager Psychotherapy Ll | |
|
19500 Middlebelt Rd Ste 224 Livonia MI 48152-2196 | |
| (248) 955-3108 | |
| Not Available |
| Full Name | Tanager Psychotherapy Ll |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19500 Middlebelt Rd Ste 224, Livonia, Michigan |
| Authorized Official Name and Position | Charon Denyse Normand-widmer (CLINICIAN) |
| Authorized Official Contact | 2489553108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanager Psychotherapy Ll 19500 Middlebelt Rd Ste 224 Livonia MI 48152-2196 Ph: (248) 955-3108 | Tanager Psychotherapy Ll 19500 Middlebelt Rd Ste 224 Livonia MI 48152-2196 Ph: (248) 955-3108 |
| NPI Number | 1629779988 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629779988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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