Organization
MIGHTY WARRIOR WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LOWE LPC, CAADC (PRESIDENT)
(269) 414-8534
Entity
Organization
Contact information
Practice address
125 S BROADWAY ST, CASSOPOLIS, MI 49031-1242
(269) 414-8534
Mailing address
125 S BROADWAY ST, CASSOPOLIS, MI 49031-1242
(269) 414-8534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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