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Organization

AVORTEX WELLNESS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LATONYA RENAE MCCOY LMSW, CCM, CHC (CEO)
(248) 846-1498
Entity
Organization

Contact information

Practice address
607 SHELBY ST STE 796, DETROIT, MI 48226-3268
(248) 846-1498
(248) 846-1506
Mailing address
607 SHELBY ST STE 700, DETROIT, MI 48226-3282
(248) 846-1498
(248) 846-1506

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
171400000X
Health & Wellness Coach
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
11/05/2025
Last updated
05/07/2026
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