| The Center For Intentional Living, Llc | |
|
12700 Bowers Ln South Lyon MI 48178-9133 | |
| (248) 345-4927 | |
| Not Available |
| Full Name | The Center For Intentional Living, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12700 Bowers Ln, South Lyon, Michigan |
| Authorized Official Name and Position | Hillary Lynne Sullins (MANAGING DIRECTOR/OWNER) |
| Authorized Official Contact | 2483454927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Intentional Living, Llc 12700 Bowers Ln South Lyon MI 48178-9133 Ph: () - | The Center For Intentional Living, Llc 12700 Bowers Ln South Lyon MI 48178-9133 Ph: (248) 345-4927 |
| NPI Number | 1568909182 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568909182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801096404 (Michigan) | Primary |
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