| NPI | 1164258760 |
|---|---|
| Former Legal Business Name | TWYLA MALCOM THERAPY, PLLC |
| Entity Type | Organization |
| Authorized Contact | TWYLA MALCOM Psychotherapist/Owner 248-949-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |