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Organization
HER MIDLIFE WELL-BEING SERVICES LLC
Active
Organization
HER MIDLIFE WELL-BEING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GREEN LMSW, CCM (OWNER)
(313) 365-0479
Entity
Organization
Contact information
Practice address
388 COVE VIEW DR, WATERFORD, MI 48327-3784
(313) 365-0479
Mailing address
5119 HIGHLAND RD STE 129, WATERFORD, MI 48327-1915
(313) 365-0479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
374J00000X
Doula
—
—
Other
Enumeration date
10/18/2023
Last updated
11/26/2023
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