Organization
CREATIVE RESILIENCE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALENE WAYTES LPC, CAADC (OWNER)
(517) 648-3744
Entity
Organization
Contact information
Practice address
8005 MAIN ST STE 3, DEXTER, MI 48130-1027
(734) 489-9686
Mailing address
8005 MAIN ST STE 3, DEXTER, MI 48130-1027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
01/16/2024
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