Therapy Institute Of Michigan Llc | |
1 Heritage Dr Ste 220 Southgate MI 48195-3048 | |
(734) 672-0068 | |
(734) 672-0068 |
Full Name | Therapy Institute Of Michigan Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1 Heritage Dr Ste 220, Southgate, Michigan |
Authorized Official Name and Position | Kimberly-ann Blair Mcfarland (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7346720068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Therapy Institute Of Michigan Llc 1 Heritage Dr Ste 220 Southgate MI 48195-3048 Ph: (734) 672-0068 | Therapy Institute Of Michigan Llc 1 Heritage Dr Ste 220 Southgate MI 48195-3048 Ph: (734) 672-0068 |
NPI Number | 1942725718 |
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Provider Enumeration Date | 08/13/2017 |
Last Update Date | 12/13/2022 |
Certification Date | 12/13/2022 |
Identifier | Type | State | Issuer |
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1942725718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6401014309 (Michigan) | Primary |
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