Organization
PRIME MENTAL HEALTH STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA MALONE NP (OWNER/AUTHORIZED OFFICIAL)
(734) 568-3024
Entity
Organization
Contact information
Practice address
15900 W 10 MILE RD STE 211, SOUTHFIELD, MI 48075-2079
(734) 568-3024
(734) 527-6087
Mailing address
15900 W 10 MILE RD STE 211, SOUTHFIELD, MI 48075-2079
(734) 568-3024
(734) 527-6087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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