NPI | 1699408674 |
---|---|
Doing Business As | EMERGE TELETHERAPY PRACTICE |
Entity Type | Organization |
Authorized Contact | MIA MICHELLE HALL Clinical Mental Health Therapist 248-945-2095 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2022-07-06 |
Last Update Date | 2023-09-28 |