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Organization
FULFILLING LIFE'S YEARNINGS MENTAL HEALTH CENTER, PLLC
Active
Organization
FULFILLING LIFE'S YEARNINGS MENTAL HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE SOULET LLC (OWNER)
(248) 736-7541
Entity
Organization
Contact information
Practice address
5756 REVETON RD, WEST BLOOMFIELD, MI 48322-1357
(248) 736-7541
Mailing address
5756 REVETON RD, WEST BLOOMFIELD, MI 48322-1357
(248) 736-7541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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