| Urban Therapeutic Collective Llc | |
|
27369 Sutherland St Southfield MI 48076-3563 | |
| (313) 478-5114 | |
| Not Available |
| Full Name | Urban Therapeutic Collective Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 27369 Sutherland St, Southfield, Michigan |
| Authorized Official Name and Position | Kari Nadine Foote-johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3134785114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Therapeutic Collective Llc 27369 Sutherland St Southfield MI 48076-3563 Ph: (313) 478-5114 | Urban Therapeutic Collective Llc 27369 Sutherland St Southfield MI 48076-3563 Ph: (313) 478-5114 |
| NPI Number | 1598489775 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598489775 | NPI | - | NPPES |
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