Organization
NEW LEAF INTEGRATIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAE NYANANKPE (OWNER)
(313) 744-3220
Entity
Organization
Contact information
Practice address
18640 MACK AVE, GROSSE POINTE FARMS, MI 48236-7700
(313) 744-3220
Mailing address
18640 MACK AVE, GROSSE POINTE FARMS, MI 48236-7700
(313) 744-3220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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