| Unleash Your Authenticity Counseling Llc | |
|
29532 Southfield Rd Ste 115 Southfield MI 48076-2023 | |
| (248) 716-4196 | |
| Not Available |
| Full Name | Unleash Your Authenticity Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 29532 Southfield Rd Ste 115, Southfield, Michigan |
| Authorized Official Name and Position | Shayna Agosta (THERAPIST) |
| Authorized Official Contact | 2487164196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unleash Your Authenticity Counseling Llc 29532 Southfield Rd Ste 115 Southfield MI 48076-2023 Ph: () - | Unleash Your Authenticity Counseling Llc 29532 Southfield Rd Ste 115 Southfield MI 48076-2023 Ph: (248) 716-4196 |
| NPI Number | 1922839877 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922839877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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