Organization
CIRCLE OF LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA M PETOSKEY LMSW, CAADC (OWNER)
(810) 962-3556
Entity
Organization
Contact information
Practice address
G-6201 MILLER RD, SUITE B, SWARTZ CREEK, MI 48473-1598
(810) 962-3556
(810) 963-8953
Mailing address
3292 BELFAST STREET, BURTON, MI 48529-1825
(810) 962-3556
(810) 963-8359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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