Organization
MICHIGAN INTEGRATED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NAUMANN (OFFICE MANAGER)
(269) 795-6681
Entity
Organization
Contact information
Practice address
8080 MOORSBRIDGE RD STE 102, PORTAGE, MI 49024-4422
(269) 795-6681
Mailing address
8080 MOORSBRIDGE RD STE 102, PORTAGE, MI 49024-4422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/24/2023
Last updated
04/03/2023
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