| Trauma Treatment Collective Pllc | |
|
20411 W 12 Mile Rd # Suie104 Southfield MI 48076-5414 | |
| (757) 537-1929 | |
| Not Available |
| Full Name | Trauma Treatment Collective Pllc |
|---|---|
| Speciality | Counselor |
| Location | 20411 W 12 Mile Rd # Suie104, Southfield, Michigan |
| Authorized Official Name and Position | Nina Keeler (OWNER) |
| Authorized Official Contact | 7575371929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Treatment Collective Pllc Ra - 37 Aleli Street Rosaleda Development Ii Toa Baja PR 00949 Ph: (757) 537-1929 | Trauma Treatment Collective Pllc 20411 W 12 Mile Rd # Suie104 Southfield MI 48076-5414 Ph: (757) 537-1929 |
| NPI Number | 1063090686 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 04/02/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063090686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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