Organization
INHABIT BODYMIND THERAPY
Active
Other names
Luminous Heart Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA 'SHURA' DAWN EAGEN LPC (MENTAL HEALTH COUNSELOR)
(458) 215-1356
Entity
Organization
Contact information
Practice address
872 GROVE RD STE UR, YPSILANTI, MI 48198-6300
(458) 215-1356
Mailing address
872 GROVE RD STE UR, YPSILANTI, MI 48198-6300
(458) 215-1356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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