Organization
MCTS ROSE, LLC
Active
Other names
Michigan Center for Traumatic Stress Rose Day Program, MCTS Rose Program
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA ROSE JOHNSON (CEO)
(248) 330-5770
Entity
Organization
Contact information
Practice address
1861 E. MAPLE, TROY, MI 48083
(248) 330-5770
Mailing address
1861 E. MAPLE, TROY, MI 48083
(248) 246-0172
(248) 246-0173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/29/2023
Last updated
04/16/2024
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