Organization
SYMMETRY WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACEY LOUISE GREEN (SECRETARY)
(586) 330-0779
Entity
Organization
Contact information
Practice address
35870 SHERBORNE DR, CLINTON TOWNSHIP, MI 48035-2757
(586) 224-4595
Mailing address
51382 GRATIOT AVE # 1018, CHESTERFIELD, MI 48051-2035
(586) 330-0779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251J00000X
Nursing Care Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/15/2021
Last updated
11/12/2021
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