# HEARTFELT PHYSICIAN SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578505129
- **Authorized official:** DR. REBECCA KATHLEENE MOTLEY MD (PRESIDENT)
- **Authorized official phone:** (248) 552-1327

## Contact information

- **Practice address:** 20245 W 12 MILE RD, STE 120, SOUTHFIELD, MI 48076-5409
- **Practice address phone:** (248) 552-1327
- **Practice address fax:** (586) 859-5729
- **Mailing address:** 20245 W 12 MILE RD, STE 120, SOUTHFIELD, MI 48076-5409
- **Mailing address phone:** (248) 552-1327
- **Mailing address fax:** (586) 859-5729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301407599 | MI | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 12/18/2020