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Organization
THE HEALING PALACE INC
Active
Organization
THE HEALING PALACE INC
Active
Parent organization
THE HEALING PALACE INC
Other names
Fathers' First
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEALING PALACE INC
Authorized official
CHONTAY TAYLOR PMHNP-BC (FOUNDER)
(313) 459-6707
Entity
Organization
Contact information
Practice address
818 TROMBLEY RD, GROSSE POINTE PARK, MI 48230-1880
(313) 459-6707
Mailing address
818 TROMBLEY RD, GROSSE POINTE PARK, MI 48230-1880
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
NULL
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/10/2014
Last updated
11/10/2014
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