Organization
PURE REFLECTIONS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAKIA NELSON (PRIVATE PRACTITIONER)
(810) 515-6649
Entity
Organization
Contact information
Practice address
17344 W 12 MILE RD, SUITE 104, SOUTHFIELD, MI 48076-2121
(810) 515-6649
Mailing address
17344 W 12 MILE RD, SUITE 104, SOUTHFIELD, MI 48076-2121
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801084249
MI
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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