# THE HEALING PALACE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE HEALING PALACE INC
- **Other names:** Fathers' First
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285038885
- **Legal business name:** THE HEALING PALACE INC
- **Authorized official:** CHONTAY TAYLOR PMHNP-BC (FOUNDER)
- **Authorized official phone:** (313) 459-6707

## Contact information

- **Practice address:** 818 TROMBLEY RD, GROSSE POINTE PARK, MI 48230-1880
- **Practice address phone:** (313) 459-6707
- **Mailing address:** 818 TROMBLEY RD, GROSSE POINTE PARK, MI 48230-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |
| 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