| Therapeutic Journeys | |
|
25835 Mary St Chesterfield MI 48051-2824 | |
| (313) 971-6693 | |
| (586) 690-8346 |
| Full Name | Therapeutic Journeys |
|---|---|
| Speciality | Counselor |
| Location | 25835 Mary St, Chesterfield, Michigan |
| Authorized Official Name and Position | Darrecia Princess Cooper (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3139716693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Journeys 25835 Mary St Chesterfield MI 48051-2824 Ph: (313) 971-6693 | Therapeutic Journeys 25835 Mary St Chesterfield MI 48051-2824 Ph: (313) 971-6693 |
| NPI Number | 1699476770 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 2961854153 |
|---|---|
| Medicare Enrollment ID | O20240124000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699476770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Darrecia Princess Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457836876 PECOS PAC ID: 3870945066 Enrollment ID: I20240124001051 |
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