| Journey To Clarity Llc | |
|
21700 Northwestern Hwy Ste 860 Southfield MI 48075-4911 | |
| (313) 970-8254 | |
| Not Available |
| Full Name | Journey To Clarity Llc |
|---|---|
| Speciality | Counselor |
| Location | 21700 Northwestern Hwy Ste 860, Southfield, Michigan |
| Authorized Official Name and Position | Maya Cobb (OWNER) |
| Authorized Official Contact | 3137271593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Clarity Llc 25523 Friar Ln Southfield MI 48033-2770 Ph: (313) 671-1856 | Journey To Clarity Llc 21700 Northwestern Hwy Ste 860 Southfield MI 48075-4911 Ph: (313) 970-8254 |
| NPI Number | 1811763642 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 2466987516 |
|---|---|
| Medicare Enrollment ID | O20241126001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811763642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maya D Cobb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598427304 PECOS PAC ID: 8224488572 Enrollment ID: I20231228001757 |
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