| Radically Genuine Therapy Services L.l.c. | |
|
13132 North Rd Fenton MI 48430-1085 | |
| (810) 666-0492 | |
| Not Available |
| Full Name | Radically Genuine Therapy Services L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13132 North Rd, Fenton, Michigan |
| Authorized Official Name and Position | Logan Michael Mcintosh (CO-OWNER / THERAPIST) |
| Authorized Official Contact | 8106660492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radically Genuine Therapy Services L.l.c. Po Box 24 Fenton MI 48430-0024 Ph: (810) 666-0492 | Radically Genuine Therapy Services L.l.c. 13132 North Rd Fenton MI 48430-1085 Ph: (810) 666-0492 |
| NPI Number | 1306795232 |
|---|---|
| Provider Enumeration Date | 01/23/2026 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306795232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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