| Transforming Recovery Education And Therapy Pllc | |
|
26677 W 12 Mile Rd Southfield MI 48034-1514 | |
| (313) 338-9032 | |
| Not Available |
| Full Name | Transforming Recovery Education And Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 26677 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Tanisha Moir (FOUNDER) |
| Authorized Official Contact | 3139300757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transforming Recovery Education And Therapy Pllc 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (313) 338-9032 | Transforming Recovery Education And Therapy Pllc 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (313) 338-9032 |
| NPI Number | 1710563648 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 04/03/2021 |
| Certification Date | 04/03/2021 |
| Medicare PECOS PAC ID | 3577971761 |
|---|---|
| Medicare Enrollment ID | O20210428002253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710563648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tanisha A Moir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760528749 PECOS PAC ID: 8628363439 Enrollment ID: I20160818000270 |
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