On The Go Behavioral Health And Therapy Services Llc | |
21703 Stratford Ct Oak Park MI 48237-2558 | |
(248) 729-1454 | |
Not Available |
Full Name | On The Go Behavioral Health And Therapy Services Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 21703 Stratford Ct, Oak Park, Michigan |
Authorized Official Name and Position | Devhonja Marie Taylor (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2487291454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
On The Go Behavioral Health And Therapy Services Llc Po Box 820 Southfield MI 48037-0820 Ph: (248) 729-1454 | On The Go Behavioral Health And Therapy Services Llc 21703 Stratford Ct Oak Park MI 48237-2558 Ph: (248) 729-1454 |
NPI Number | 1104391663 |
---|---|
Provider Enumeration Date | 10/10/2018 |
Last Update Date | 10/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104391663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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