| Element Psychotherapy Llc | |
|
27941 Harper Avenue, Ste 103 Mailbox#5 St. Clair Shores MI 48081-1535 | |
| (249) 229-4778 | |
| (586) 859-5300 |
| Full Name | Element Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27941 Harper Avenue, Ste 103 Mailbox#5, St. Clair Shores, Michigan |
| Authorized Official Name and Position | Sandra Marie Tysar-gilbert (CLINICIAN) |
| Authorized Official Contact | 2482294778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Element Psychotherapy Llc 27941 Harper Avenue, Ste 103 Mailbox#5 St. Clair Shores MI 48081-1535 Ph: (249) 229-4778 | Element Psychotherapy Llc 27941 Harper Avenue, Ste 103 Mailbox#5 St. Clair Shores MI 48081-1535 Ph: (249) 229-4778 |
| NPI Number | 1336799972 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336799972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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