| Withstand Emotional Health Recovery | |
|
17620 Shaftsbury Ave Detroit MI 48219-3593 | |
| (248) 667-8047 | |
| Not Available |
| Full Name | Withstand Emotional Health Recovery |
|---|---|
| Speciality | Social Worker |
| Location | 17620 Shaftsbury Ave, Detroit, Michigan |
| Authorized Official Name and Position | Truvella Porter (CEO) |
| Authorized Official Contact | 2486678047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Withstand Emotional Health Recovery 3512 Macnichol Trl West Bloomfield MI 48323-1734 Ph: (248) 667-8047 | Withstand Emotional Health Recovery 17620 Shaftsbury Ave Detroit MI 48219-3593 Ph: (248) 667-8047 |
| NPI Number | 1346024973 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Medicare PECOS PAC ID | 0143670406 |
|---|---|
| Medicare Enrollment ID | O20231228002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346024973 | NPI | - | NPPES |
| Provider Name | Truvella Renee Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346720406 PECOS PAC ID: 1052761319 Enrollment ID: I20231228002217 |
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