| NPI | 1073161907 |
|---|---|
| Doing Business As | PEDIATRIC AND ADULT BEHAVIORAL COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DENNIELLE MCIVER Owner 248-973-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2022-11-13 |