| The Upper Room Professional Counseling Services Pllc | |
|
221 N Sheldon Rd Plymouth MI 48170-1524 | |
| (734) 748-4005 | |
| (734) 468-0217 |
| Full Name | The Upper Room Professional Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 221 N Sheldon Rd, Plymouth, Michigan |
| Authorized Official Name and Position | Pamela Haase (CLINICAL DIRECTOR MEMBER) |
| Authorized Official Contact | 7347485988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Upper Room Professional Counseling Services Pllc 13173 Andover Dr Plymouth MI 48170-8208 Ph: (734) 748-5988 | The Upper Room Professional Counseling Services Pllc 221 N Sheldon Rd Plymouth MI 48170-1524 Ph: (734) 748-4005 |
| NPI Number | 1144935198 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144935198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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