| Total Health & Wellness Associates | |
|
31700 W 12 Mile Rd Suite 250 Farmington Hills MI 48334-4424 | |
| (734) 368-7154 | |
| Not Available |
| Full Name | Total Health & Wellness Associates |
|---|---|
| Speciality | Psychologist |
| Location | 31700 W 12 Mile Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Tracy Renea Juliao (OWNER/LICENSED HEALTH PSYCHOLOGIST) |
| Authorized Official Contact | 7343687154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health & Wellness Associates Po Box 3052 Farmington Hills MI 48333-3052 Ph: (734) 368-7154 | Total Health & Wellness Associates 31700 W 12 Mile Rd Suite 250 Farmington Hills MI 48334-4424 Ph: (734) 368-7154 |
| NPI Number | 1104151950 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 01/31/2012 |
| Medicare PECOS PAC ID | 5890962427 |
|---|---|
| Medicare Enrollment ID | O20120121000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104151950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | 6301012980 (Michigan) | Primary |
| Provider Name | Tracy R Juliao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447350202 PECOS PAC ID: 7416038922 Enrollment ID: I20080122000608 |
| Provider Name | Shannon M Harbin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972029676 PECOS PAC ID: 0648507111 Enrollment ID: I20190806002624 |
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