Organization
ANXIETY WELLNESS PROGRAM
Active
Organization
ANXIETY WELLNESS PROGRAM
Active
Other names
Anxiety Wellness Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GABRIELA ZAMORA-AHLSTROM LCSW (CLINICAL DIRECTOR)
(586) 291-7557
Entity
Organization
Contact information
Practice address
71 N LIVERNOIS RD, ROCHESTER HILLS, MI 48307-1001
(586) 291-7557
Mailing address
53375 WHITBY WAY, SHELBY TOWNSHIP, MI 48316-2751
(586) 291-7557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/15/2018
Last updated
07/30/2020
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