| Relational Wellness, Llc | |
|
11000 W Mcnichols Rd Ste 3231277 Detroit MI 48221-2357 | |
| (313) 288-0862 | |
| Not Available |
| Full Name | Relational Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11000 W Mcnichols Rd Ste 3231277, Detroit, Michigan |
| Authorized Official Name and Position | Kelly Soley (OWNER/THERAPIST) |
| Authorized Official Contact | 3132880862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relational Wellness, Llc 11000 W Mcnichols Rd Ste 3231277 Detroit MI 48221-2357 Ph: (313) 288-0862 | Relational Wellness, Llc 11000 W Mcnichols Rd Ste 3231277 Detroit MI 48221-2357 Ph: (313) 288-0862 |
| NPI Number | 1831799840 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Medicare PECOS PAC ID | 3072925742 |
|---|---|
| Medicare Enrollment ID | O20201222001975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831799840 | NPI | - | NPPES |
| 1356692610 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kelly Soley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356692610 PECOS PAC ID: 3577827658 Enrollment ID: I20180426002054 |
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