| Wow Therapy | |
|
805 Superior St Ste A Port Huron MI 48060-3771 | |
| (810) 300-6614 | |
| Not Available |
| Full Name | Wow Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 805 Superior St Ste A, Port Huron, Michigan |
| Authorized Official Name and Position | Yuvone Marie Rogers (OWNER) |
| Authorized Official Contact | 8103006614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wow Therapy 4043 Violet Ave Saint Clair MI 48079-3532 Ph: (810) 300-6614 | Wow Therapy 805 Superior St Ste A Port Huron MI 48060-3771 Ph: (810) 300-6614 |
| NPI Number | 1386133809 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386133809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401016563 (Michigan) | Primary |
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