Brave Soul Counseling Pllc | |
12500 E 13 Mile Rd Warren MI 48093-5011 | |
(586) 208-3871 | |
Not Available |
Full Name | Brave Soul Counseling Pllc |
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Speciality | Counselor |
Location | 12500 E 13 Mile Rd, Warren, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brave Soul Counseling Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Brave Soul Counseling Pllc 12500 E 13 Mile Rd Warren MI 48093-5011 Ph: (586) 208-3871 |
NPI Number | 1790247716 |
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Provider Enumeration Date | 04/01/2019 |
Last Update Date | 01/26/2022 |
Certification Date | 01/26/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790247716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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