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Organization

INTEGRATED BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISHA RAE MCCABE (PRACTICE MANAGER/PSYCHOTHERAPIST)
(810) 922-1808
Entity
Organization

Contact information

Practice address
17100 SILVER PKWY, STE D, FENTON, MI 48430-3468
(810) 208-0378
(810) 963-1917
Mailing address
17100 SILVER PKWY, STE D, FENTON, MI 48430-3468
(810) 208-0378
(810) 963-1917

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356658579
MI
Enumeration date
10/07/2019
Last updated
12/12/2024
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