Organization
THRIVETIME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CHENAULT LMSW (CLINICAL THERAPIST)
(313) 686-8543
Entity
Organization
Contact information
Practice address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
(313) 686-8543
Mailing address
29532 SOUTHFIELD RD STE 115, SOUTHFIELD, MI 48076-2023
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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