Organization
MYSELFINCLUDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA B BURGESS LMSW (OWNER)
(248) 459-2147
Entity
Organization
Contact information
Practice address
15140 LIVERNOIS AVE, DETROIT, MI 48238-2045
(248) 459-2147
Mailing address
14123 SHAMROCK DR, REDFORD, MI 48239-2995
(248) 459-2147
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
10/03/2023
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