Collaborative Change Therapy Services
Counselor, Professional in Ypsilanti, MI. Organization (NPI-2).
NPI number1629675889
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1629675889
- Entity type
- Organization (NPI-2)
- Legal business name
- Collaborative Change Therapy Services
- Organization subpart
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
302 N Huron StYpsilanti, MI 48197-2947
Phone 734-203-0020 · Fax 734-773-1611
Mailing address
302 N Huron StYpsilanti, MI 48197-2947
Phone 734-203-0020 · Fax 734-773-1611
Authorized official
Hannah Rachel Hyde
Owner
7342030020
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