# AVORTEX WELLNESS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023988151
- **Authorized official:** MS. LATONYA RENAE MCCOY LMSW, CCM, CHC (CEO)
- **Authorized official phone:** (248) 846-1498

## Contact information

- **Practice address:** 607 SHELBY ST STE 796, DETROIT, MI 48226-3268
- **Practice address phone:** (248) 846-1498
- **Practice address fax:** (248) 846-1506
- **Mailing address:** 607 SHELBY ST STE 700, DETROIT, MI 48226-3282
- **Mailing address phone:** (248) 846-1498
- **Mailing address fax:** (248) 846-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 05/07/2026