| Therapist Llc | |
|
324 E Main St Northville MI 48167-7400 | |
| (810) 279-0502 | |
| Not Available |
| Full Name | Therapist Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 324 E Main St, Northville, Michigan |
| Authorized Official Name and Position | Grant Flood (OWNER / PROVIDER) |
| Authorized Official Contact | 8102790502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapist Llc 324 E Main St Northville MI 48167-7400 Ph: (810) 279-0502 | Therapist Llc 324 E Main St Northville MI 48167-7400 Ph: (810) 279-0502 |
| NPI Number | 1407622111 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407622111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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