| Cultivating Hope Collaborative Therapy, Plc | |
|
25600 Woodward Ave Ste 109 Royal Oak MI 48067-0944 | |
| (734) 926-9337 | |
| (734) 423-1419 |
| Full Name | Cultivating Hope Collaborative Therapy, Plc |
|---|---|
| Speciality | Psychologist |
| Location | 25600 Woodward Ave Ste 109, Royal Oak, Michigan |
| Authorized Official Name and Position | Michele L Thompson (LIMITED LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4192053801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating Hope Collaborative Therapy, Plc 25600 Woodward Ave Ste 109 Royal Oak MI 48067-0944 Ph: (734) 926-9337 | Cultivating Hope Collaborative Therapy, Plc 25600 Woodward Ave Ste 109 Royal Oak MI 48067-0944 Ph: (734) 926-9337 |
| NPI Number | 1104592450 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104592450 | NPI | - | NPPES |
| 1376850867 | Other | MI | LARA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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