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Organization
REAL IMPACT BEHAVIORAL HEALTH CENTER
Active
Organization
REAL IMPACT BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHEA FOSTER LPC (CEO)
(313) 920-9046
Entity
Organization
Contact information
Practice address
29623 NORTHWESTERN HWY STE 6, SOUTHFIELD, MI 48034-1076
(313) 920-9046
(313) 731-1991
Mailing address
628 PINGREE ST, DETROIT, MI 48202-2024
(313) 920-9046
(313) 731-1991
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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