Organization
ALLIANCE THERAPY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MAY YOUNGLOVE MA, LLP (OWNER)
(517) 662-5084
Entity
Organization
Contact information
Practice address
366 CRYSTAL SPRING AVE, ADRIAN, MI 49221-3207
(517) 662-5084
Mailing address
366 CRYSTAL SPRING AVE, ADRIAN, MI 49221-3207
(517) 662-5084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401011293
MI
103TC0700X
Clinical Psychologist
Primary
6301013012
MI
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200210
—
OH
Enumeration date
07/17/2017
Last updated
03/04/2025
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