Organization
INNOVATIVE PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA LENO (PSYCHOLOGIST)
(313) 732-7861
Entity
Organization
Contact information
Practice address
377 FISHER RD STE D3, GROSSE POINTE, MI 48230-1673
(248) 537-2489
Mailing address
377 FISHER RD STE D3, GROSSE POINTE, MI 48230-1673
(313) 732-7861
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
08/08/2024
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