Organization
TRILLIUMWOOD COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ALAN EVANS FILLMORE MS, LMSW (CLINICAL SOCIAL WORKER)
(906) 235-6750
Entity
Organization
Contact information
Practice address
4851 COUNTY ROAD 135, MC MILLAN, MI 49853-9452
(906) 235-6750
Mailing address
4851 COUNTY ROAD 135, MCMILLAN, MI 49853
(906) 235-6750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6801093490
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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