| Therapeia Pllc | |
|
888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 | |
| (248) 629-0044 | |
| Not Available |
| Full Name | Therapeia Pllc |
|---|---|
| Speciality | Counselor |
| Location | 888 W Big Beaver Rd Ste 780, Troy, Michigan |
| Authorized Official Name and Position | Melissa Michelle Youngblood (PRESIDENT) |
| Authorized Official Contact | 2486290044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeia Pllc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 629-0044 | Therapeia Pllc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 629-0044 |
| NPI Number | 1841864493 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 3870942139 |
|---|---|
| Medicare Enrollment ID | O20231212001426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841864493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mary Deneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821452061 PECOS PAC ID: 8820429897 Enrollment ID: I20200506001901 |
| Provider Name | Melissa Michelle Youngblood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871776534 PECOS PAC ID: 4789033044 Enrollment ID: I20231212001539 |
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