Whole Body Health And Wellness Center INC
Counselor, Mental Health in Southfield, MI. Organization (NPI-2).
NPI number1003289166
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1003289166
- Entity type
- Organization (NPI-2)
- Legal business name
- Whole Body Health And Wellness Center INC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2015
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6801011245 | MI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | SA0823273 | MI | |
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | SA0823273 | MI | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | SA0823273 | MI |
Practice location
17250 W 12 Mile RdSouthfield, MI 48076-2127
Phone 248-632-6737
Mailing address
22341 W 8 Mile RdDetroit, MI 48219-1217
Phone 248-632-6737
Authorized official
Varonica Freeman
Billing Manager
5132609643
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