Soul Growth Psychological Services PLLC
Psychologist, Clinical in Commerce Twp, MI. Organization (NPI-2).
NPI number1982246286
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1982246286
- Entity type
- Organization (NPI-2)
- Legal business name
- Soul Growth Psychological Services PLLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2019
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Other names
- Soul Growth Psychological Services, PLLC (Doing Business As)
Practice location
3760 Sleeth RdCommerce Twp, MI 48382-1670
Phone 248-840-5933
Mailing address
3760 Sleeth RdCommerce Twp, MI 48382-1670
Phone 248-840-5933
Other practice locations
434 W Main St
Brighton, MI 48116-1446
Brighton, MI 48116-1446
Phone 248-840-5933
Authorized official
Elizabeth J Tupling
President
2488405933
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