Organization
ENCOMPASS THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY NICOLE BLAKE M.S., BCBA (OWNER/CLINICAL DIRECTOR)
(989) 324-8924
Entity
Organization
Contact information
Practice address
3710 KATALIN CT, BAY CITY, MI 48706-2160
(989) 324-8924
Mailing address
3710 KATALIN CT, BAY CITY, MI 48706-2160
(989) 324-8924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17456
MI
1041C0700X
Clinical Social Worker
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/19/2017
Last updated
02/04/2022
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