Element Psychotherapy Llc | |
27941 Harper Avenue, Ste 103 Mailbox#5 St. Clair Shores MI 48081-1535 | |
(249) 229-4778 | |
(586) 859-5300 |
Full Name | Element Psychotherapy Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 27941 Harper Avenue, Ste 103 Mailbox#5, St. Clair Shores, Michigan |
Authorized Official Name and Position | Sandra Marie Tysar-gilbert (CLINICIAN) |
Authorized Official Contact | 2482294778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Element Psychotherapy Llc 27941 Harper Avenue, Ste 103 Mailbox#5 St. Clair Shores MI 48081-1535 Ph: (249) 229-4778 | Element Psychotherapy Llc 27941 Harper Avenue, Ste 103 Mailbox#5 St. Clair Shores MI 48081-1535 Ph: (249) 229-4778 |
NPI Number | 1336799972 |
---|---|
Provider Enumeration Date | 09/16/2019 |
Last Update Date | 12/14/2020 |
Certification Date | 12/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336799972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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