Organization
BEHAVIORAL HEALTHCARE & ASSESSMENTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAISY BELLE ELLINGTON DUPAS PH.D. (PRESIDENT)
(313) 492-3165
Entity
Organization
Contact information
Practice address
16625 GRAND RIVER AVE, DETROIT, MI 48227-1419
(313) 492-3165
Mailing address
708 SAINT MARON PL, DETROIT, MI 48207-3983
(313) 492-3165
(248) 528-0157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401001266
MI
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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