Organization
URBAN THERAPEUTIC COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI NADINE FOOTE-JOHNSON LMSW (EXECUTIVE DIRECTOR)
(313) 478-5114
Entity
Organization
Contact information
Practice address
27369 SUTHERLAND ST, SOUTHFIELD, MI 48076-3563
(313) 478-5114
Mailing address
27369 SUTHERLAND ST, SOUTHFIELD, MI 48076-3563
(313) 478-5114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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