Organization
TIME OF GLORY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NYREIA HARRINGTON LPC (OWNER/THERAPIST)
(248) 739-2376
Entity
Organization
Contact information
Practice address
24100 SOUTHFIELD RD STE 320H, SOUTHFIELD, MI 48075-2865
(248) 739-2376
Mailing address
8237 MULBERRY LN, WARREN, MI 48093-7923
(248) 739-2376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923135153
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/06/2021
Last updated
01/08/2021
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