| Wild & Precious Therapy Llc | |
|
17251 W 12 Mile Rd Ste 200 Southfield MI 48076-2140 | |
| (916) 216-0861 | |
| Not Available |
| Full Name | Wild & Precious Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17251 W 12 Mile Rd Ste 200, Southfield, Michigan |
| Authorized Official Name and Position | Niku Rice (OWNER) |
| Authorized Official Contact | 9162160861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild & Precious Therapy Llc 6712 Mark Ct Bloomfield Hills MI 48301-2829 Ph: () - | Wild & Precious Therapy Llc 17251 W 12 Mile Rd Ste 200 Southfield MI 48076-2140 Ph: (916) 216-0861 |
| NPI Number | 1598607228 |
|---|---|
| Provider Enumeration Date | 04/09/2026 |
| Last Update Date | 04/09/2026 |
| Certification Date | 04/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598607228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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