| The Light Psychotherapy And Counseling Service | |
|
10315 Grand River Rd Ste 306 Brighton MI 48116-9586 | |
| (810) 522-5208 | |
| Not Available |
| Full Name | The Light Psychotherapy And Counseling Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10315 Grand River Rd Ste 306, Brighton, Michigan |
| Authorized Official Name and Position | Celine Mary Klecker (THERAPIST/OWNER) |
| Authorized Official Contact | 8106102301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Light Psychotherapy And Counseling Service 7274 Linden Rd Fenton MI 48430-9397 Ph: (810) 610-2301 | The Light Psychotherapy And Counseling Service 10315 Grand River Rd Ste 306 Brighton MI 48116-9586 Ph: (810) 522-5208 |
| NPI Number | 1174119523 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174119523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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