Organization
MICHIGAN CENTER FOR TRAUMATIC STRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA ROSE JOHNSON (CEO)
(248) 330-5770
Entity
Organization
Contact information
Practice address
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902
Mailing address
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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