Organization
COLLABORATIVE CHANGE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH RACHEL HYDE LPC (OWNER)
(734) 203-0020
Entity
Organization
Contact information
Practice address
302 N HURON ST, YPSILANTI, MI 48197-2947
(734) 203-0020
(734) 773-1611
Mailing address
302 N HURON ST, YPSILANTI, MI 48197-2947
(734) 203-0020
(734) 773-1611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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