| Wholeistic You Pllc | |
|
15223 Farmington Rd Livonia MI 48154-5411 | |
| (734) 377-3589 | |
| Not Available |
| Full Name | Wholeistic You Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15223 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Monika Domke (OWNER) |
| Authorized Official Contact | 7349683549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholeistic You Pllc 31741 Cambridge St Livonia MI 48154-3139 Ph: (734) 968-3549 | Wholeistic You Pllc 15223 Farmington Rd Livonia MI 48154-5411 Ph: (734) 377-3589 |
| NPI Number | 1497302889 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497302889 | NPI | - | NPPES |
| 6801091472 | Other | MI | STATE LICENSE LMSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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