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Organization
SACRED HEALING THERAPEUTIC SERVICES LLC
Active
Organization
SACRED HEALING THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
6144 DEVON ST, PORTAGE, MI 49024-2648
(734) 709-2096
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
6801075829
MI
Other
Enumeration date
03/26/2018
Last updated
02/03/2022
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