Organization
KMS MENTAL HEALTH AND WELLNESS
Active
Other names
Bloomfield Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY M SMITH LPC LLP (CLINICAL DIRECTOR)
(248) 854-8659
Entity
Organization
Contact information
Practice address
1109 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48302-1967
(248) 854-8659
Mailing address
55097 FALLBROOKE DR, MACOMB, MI 48042-1852
(248) 854-8659
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2022
Last updated
06/10/2022
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