Organization
TA THERAPEUTIC SERVICES, LLC
Active
Other names
Traci A Doran
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI A DORAN LMSW (OWNER)
(734) 755-3228
Entity
Organization
Contact information
Practice address
2913 SPENCER RD, GLENNIE, MI 48737-9793
(734) 755-3228
Mailing address
2913 SPENCER RD, GLENNIE, MI 48737-9793
(231) 714-4083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023770393
—
MI
Enumeration date
10/28/2024
Last updated
03/14/2026
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