Organization
COLLABORATIVE HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WYNGAARD (PRACTICE MANAGER)
(734) 772-0148
Entity
Organization
Contact information
Practice address
38807 ANN ARBOR RD STE 9, LIVONIA, MI 48150
(734) 772-0148
(734) 943-6051
Mailing address
38807 ANN ARBOR RD, SUITE 9, LIVONIA, MI 48150-3896
(734) 772-0148
(734) 943-6051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
05/17/2016
Last updated
08/12/2025
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