Organization
APEX BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA LYNNETTE MARTIN PSYDLLP (CLINICAL PSYCHOLOGIST)
(313) 271-8170
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD STE 311, DEARBORN, MI 48124-5031
(313) 271-8170
(313) 271-8353
Mailing address
18317 FARMINGTON RD, LIVONIA, MI 48152-3253
(248) 427-0725
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
63001008325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301008325
LICENSE NUMBER
MI
Enumeration date
05/16/2008
Last updated
05/16/2008
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