| Therapeutic Alliance, Inc | |
|
25 N. North Shore Drive Lake Orion MI 48362-3058 | |
| (248) 628-8908 | |
| (248) 693-5247 |
| Full Name | Therapeutic Alliance, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 N. North Shore Drive, Lake Orion, Michigan |
| Authorized Official Name and Position | Wendy Sharpe Taggart (OWNER/PROVIDER) |
| Authorized Official Contact | 2486288908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance, Inc 611 N Axford St Unit 53 Lake Orion MI 48361-8102 Ph: (248) 628-8908 | Therapeutic Alliance, Inc 25 N. North Shore Drive Lake Orion MI 48362-3058 Ph: (248) 628-8908 |
| NPI Number | 1316042088 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316042088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801065246 (Michigan) | Primary |
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