| Emotional Evolution Llc | |
|
105 S Saint Clair St Port Sanilac MI 48469-9657 | |
| (810) 434-9179 | |
| Not Available |
| Full Name | Emotional Evolution Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 105 S Saint Clair St, Port Sanilac, Michigan |
| Authorized Official Name and Position | Victoria Simon (OWNER) |
| Authorized Official Contact | 8104349179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotional Evolution Llc 105 S Saint Clair St Port Sanilac MI 48469-9657 Ph: () - | Emotional Evolution Llc 105 S Saint Clair St Port Sanilac MI 48469-9657 Ph: (810) 434-9179 |
| NPI Number | 1164270377 |
|---|---|
| Provider Enumeration Date | 05/11/2024 |
| Last Update Date | 05/11/2024 |
| Certification Date | 05/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164270377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Starfish Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 S Ridge St # 306, Port Sanilac, MI 48469 Phone: 810-622-0630 Fax: 810-622-0631 |