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Organization

LIFELINE CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERITA HARVEY LMSW (CLINICAL SOCIAL WORKER)
(586) 343-2154
Entity
Organization

Contact information

Practice address
41800 HAYES RD, SUITE 208, CLINTON TOWNSHIP, MI 48038-1876
(888) 910-9922
Mailing address
PO BOX 216, WASHINGTON, MI 48094-0216
(888) 910-9922

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
251B00000X
Case Management Agency
6801096616
MI
251E00000X
Home Health Agency
6801096616
MI
251K00000X
Public Health or Welfare Agency
6801096616
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801096616
MI

Other

Enumeration date
06/11/2014
Last updated
01/04/2021
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