| Brave Soul Counseling Pllc | |
|
11126 Wayne Rd Romulus MI 48174-1473 | |
| (734) 322-9334 | |
| Not Available |
| Full Name | Brave Soul Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 11126 Wayne Rd, Romulus, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Soul Counseling Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Brave Soul Counseling Pllc 11126 Wayne Rd Romulus MI 48174-1473 Ph: (734) 322-9334 |
| NPI Number | 1790247716 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790247716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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