East Michigan Adult Therapy 13 LLC
NPI #1225554082 in Southfield, Michigan
Provider Information
- NPI Number
- 1225554082
- Entity Type
- Organization
- Organization Name
- East Michigan Adult Therapy 13 LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 14, 2017
- Last Updated
- Feb 10, 2023
Practice Location
- Address
- 15700 PROVIDENCE DR APT 120
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-3126
- Phone
- (248) 246-0906
Authorized Official
- Name
- MELANIE NICOLE DAVIS, MSW
- Title
- OWNER
- Phone
- (248) 246-0906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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