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Organization

MICHIGAN CENTER FOR TRAUMATIC STRESS

Active
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Organization

MICHIGAN CENTER FOR TRAUMATIC STRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYLVIA JOHNSON LMSW (OWNER, PSYCHOTHERAPIST)
(248) 330-5770
Entity
Organization

Contact information

Practice address
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902
Mailing address
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
163W00000X
Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—

Other

Enumeration date
02/25/2020
Last updated
05/06/2026
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