| Microcosm, Llc | |
|
203 N Washington St Unit 1 Ypsilanti MI 48197-2519 | |
| (231) 912-1131 | |
| Not Available |
| Full Name | Microcosm, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 203 N Washington St Unit 1, Ypsilanti, Michigan |
| Authorized Official Name and Position | Ayyur Sutherland (THERAPIST/FOUNDER) |
| Authorized Official Contact | 2319121131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Microcosm, Llc 203 N Washington St Unit 1 Ypsilanti MI 48197-2519 Ph: (231) 912-1131 | Microcosm, Llc 203 N Washington St Unit 1 Ypsilanti MI 48197-2519 Ph: (231) 912-1131 |
| NPI Number | 1033980461 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033980461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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