Organization
WISE WELLBEING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON TATUM LMSW (OWNER)
(734) 646-0711
Entity
Organization
Contact information
Practice address
300 N 5TH AVE STE 230, ANN ARBOR, MI 48104-5504
(734) 646-2982
Mailing address
300 N 5TH AVE STE 230, ANN ARBOR, MI 48104-5504
(734) 646-0711
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/29/2021
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