Organization
DARKLING PSYCHOTHERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA CONSOLINO DSW, LMSW, MSW, PAI (CEO, PSYCHOTHERAPIST)
(734) 564-8876
Entity
Organization
Contact information
Practice address
38215 LANA DR, FARMINGTON HILLS, MI 48335-2748
(734) 564-8876
Mailing address
38215 LANA DR, FARMINGTON HILLS, MI 48335-2748
(734) 564-8876
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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