Organization
RLE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ELLENTUCK LMSW (OWNER/MANAGER)
(248) 318-9614
Entity
Organization
Contact information
Practice address
5640 W MAPLE RD STE 205, WEST BLOOMFIELD, MI 48322-3718
(248) 318-9614
Mailing address
6364 RAMWYCK CT, WEST BLOOMFIELD, MI 48322-2251
(248) 318-9614
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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