| NPI | 1619550860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RENEE MURPHY Owner 810-422-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-08-22 |