Organization
AWAKENINGS FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
2385 CEDAR PARK DR APT 323, HOLT, MI 48842-3112
(517) 331-1433
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802034561
MI
Other
Enumeration date
09/26/2006
Last updated
09/22/2020
About Stedi
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