Organization
HEALTHY MINDS, HEALTHY HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY LYNN ALLISON MALLPC, M-DIV (DIRECTOR)
(248) 796-2822
Entity
Organization
Contact information
Practice address
32961 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-1773
(248) 796-2822
(248) 327-0333
Mailing address
1885 MIDCHESTER DR, WEST BLOOMFIELD, MI 48324-1138
(248) 796-2822
(248) 327-0333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011114
MI
225XM0800X
Mental Health Occupational Therapist
6401011114
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6401011114
MI
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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