| Fulfilling Life's Yearnings Mental Health Center, Pllc | |
|
5756 Reveton Rd West Bloomfield MI 48322-1357 | |
| (248) 736-7541 | |
| Not Available |
| Full Name | Fulfilling Life's Yearnings Mental Health Center, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5756 Reveton Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Blake Soulet (OWNER) |
| Authorized Official Contact | 2487367541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulfilling Life's Yearnings Mental Health Center, Pllc 5756 Reveton Rd West Bloomfield MI 48322-1357 Ph: (248) 736-7541 | Fulfilling Life's Yearnings Mental Health Center, Pllc 5756 Reveton Rd West Bloomfield MI 48322-1357 Ph: (248) 736-7541 |
| NPI Number | 1851194245 |
|---|---|
| Provider Enumeration Date | 03/31/2025 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851194245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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