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Organization

BOUND TOGETHER COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEFANI ELIZABETH GOERLICH LMSW (OWNER/FOUNDER)
(313) 626-0160
Entity
Organization

Contact information

Practice address
3020 FRANKLIN PARK DR, STERLING HEIGHTS, MI 48310-2477
(313) 626-0160
(586) 261-5458
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538657036
MI
Enumeration date
09/21/2020
Last updated
11/12/2020
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