Organization · NPI-2

Emotional Comfortwear

Massage Therapist · Southgate, MI

NPI number1205606548
StatusActive
Last updated in NPPESJan 8, 2024

Details

NPI
1205606548
Entity type
Organization (NPI-2)
Legal business name
Emotional Comfortwear
Organization subpart
No
Enumeration date
Jan 8, 2024
Certification date
Jan 8, 2024
Last updated
Jan 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes
101YM0800X Counselor, Mental Health––
101YS0200X Counselor, School––
103TC1900X Psychologist, Counseling––
102X00000X Poetry Therapist––
103T00000X Psychologist––
103TB0200X Psychologist, Cognitive & Behavioral––
101200000X Drama Therapist––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
103TF0000X Psychologist, Family––
103TP2701X Psychologist, Group Psychotherapy––
106H00000X Marriage & Family Therapist––
111N00000X Chiropractor––
172A00000X Driver––

Practice location

15450 Heatherwood
Southgate, MI 48195-8523

Phone 734-720-2097

Mailing address

15450 Heatherwood
Southgate, MI 48195-8523

Phone 734-720-2097

Authorized official

Edison Konan
Massage Therapist
7347202097

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