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Organization

ESSENTIAL WELLNESS COMPLETE

Active
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Organization

ESSENTIAL WELLNESS COMPLETE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLI WARREN (OWNER)
(248) 722-1334
Entity
Organization

Contact information

Practice address
32231 SCHOOLCRAFT RD STE 210, LIVONIA, MI 48150-4322
(313) 307-5506
Mailing address
23480 COVENTRY WOODS LN, SOUTHFIELD, MI 48034-5167

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TP2701X
Group Psychotherapy Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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