# TEAM MENTAL HEALTH SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Team Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306383252
- **Authorized official:** ANTONIO POLLICELLA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (313) 274-3700

## Contact information

- **Practice address:** 3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
- **Practice address phone:** (313) 626-2400
- **Practice address fax:** (313) 921-4125
- **Mailing address:** 290 TOWN CENTER DR, DEARBORN, MI 48126-2739
- **Mailing address phone:** (313) 274-3700
- **Mailing address fax:** (313) 274-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223D0001X | Public Health Dentistry | — | NULL | — |
| 1223D0001X | Public Health Dentistry | — | — | — |

## Other

- **Enumeration date:** 01/30/2017
- **Last updated:** 01/30/2023