Organization
MISFITS REGROWTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (CEO)
(989) 318-3027
Entity
Organization
Contact information
Practice address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
(989) 318-3027
Mailing address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
06/23/2024
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