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Organization
TIPIPS, LLC
Active
Organization
TIPIPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L'TANYA DENISE GREEN LBSW (CHIEF EXECUTIVE OFFICER)
(734) 657-4782
Entity
Organization
Contact information
Practice address
1495 WOODLAKE LANE, GRAND BLANC, MI 48439
(734) 657-4782
Mailing address
P.O. BOX 777772, HENDERSON, NV 89077
(734) 657-4782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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