| Wise Practice Pllc | |
|
480 Grace Ave Rochester Hills MI 48307-5102 | |
| (248) 891-6946 | |
| Not Available |
| Full Name | Wise Practice Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 480 Grace Ave, Rochester Hills, Michigan |
| Authorized Official Name and Position | Kristen Marie O'dwyer (OWNER/THERAPIST) |
| Authorized Official Contact | 2488916946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Practice Pllc 26669 Spicer St Madison Heights MI 48071-3853 Ph: (248) 891-6946 | Wise Practice Pllc 480 Grace Ave Rochester Hills MI 48307-5102 Ph: (248) 891-6946 |
| NPI Number | 1801460878 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801460878 | NPI | - | NPPES |
| 1447672191 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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