Organization
CENTER FOR PEACE AND HOLISTIC HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLIAN O. BROWN LCSW, LMSW (OWNER)
(248) 703-3990
Entity
Organization
Contact information
Practice address
26657 W CARNEGIE PARK DR, SOUTHFIELD, MI 48034-6161
(248) 703-3990
(248) 327-6943
Mailing address
26657 W CARNEGIE PARK DR, SOUTHFIELD, MI 48034-6161
(248) 703-3990
(248) 327-6943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801057321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI 2757
MEDICARE PTAN
—
Enumeration date
06/11/2012
Last updated
06/11/2012
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