Organization
EMERGE THERAPY, PLC
Active
Other names
Emerge Teletherapy Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MIA MICHELLE HALL LMSW (CLINICAL MENTAL HEALTH THERAPIST)
(248) 945-2095
Entity
Organization
Contact information
Practice address
17145 BONSTELLE AVE, SOUTHFIELD, MI 48075-3470
(248) 945-2095
Mailing address
17145 BONSTELLE AVE, SOUTHFIELD, MI 48075-3470
(248) 996-4917
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/06/2022
Last updated
09/28/2023
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