| Psych To Site Wellness Program | |
|
28440 Southfield Rd Lathrup Village MI 48076-2820 | |
| (248) 557-4420 | |
| Not Available |
| Full Name | Psych To Site Wellness Program |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28440 Southfield Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Nelissa Nash (OWNER) |
| Authorized Official Contact | 2486864926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych To Site Wellness Program 28440 Southfield Rd Lathrup Village MI 48076-2820 Ph: (248) 557-4420 | Psych To Site Wellness Program 28440 Southfield Rd Lathrup Village MI 48076-2820 Ph: (248) 557-4420 |
| NPI Number | 1215374558 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215374558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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