Blaq Therapy - Mental Health Clinic in Mattawan, MI

Blaq Therapy is a mental health clinic (Counselor - Professional) in Mattawan, Michigan. The current practice location for Blaq Therapy is 24073 Crescent St, Mattawan, Michigan. For appointments, you can reach them via phone at (734) 802-7667. The mailing address for Blaq Therapy is Po Box 714, Mattawan, Michigan and phone number is () -.

Blaq Therapy is licensed to practice in * (Not Available) (license number ) and its NPI number is 1609646256. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (734) 802-7667.

Contact Information

Blaq Therapy
24073 Crescent St
Mattawan
MI 49071-8457
(734) 802-7667
Not Available

Mental Health Clinic Profile

Full NameBlaq Therapy
SpecialityCounselor - Professional
Location24073 Crescent St, Mattawan, Michigan
Authorized Official Name and PositionAnter Abdallah (CREDENTIALER)
Authorized Official Contact7348027667
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blaq Therapy
Po Box 714
Mattawan
MI 49071-0714

Ph: () -
Blaq Therapy
24073 Crescent St
Mattawan
MI 49071-8457

Ph: (734) 802-7667

NPI Details:

NPI Number1609646256
Provider Enumeration Date01/04/2024
Last Update Date01/04/2024
Certification Date01/04/2024

Medical Identifiers

Medical identifiers for Blaq Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609646256NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Primary
103TC1900XPsychologist - Counseling (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
221700000XArt Therapist (* (Not Available))Secondary
225A00000XMusic Therapist (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health (* (Not Available))Secondary

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