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Organization

LOOKING FOR A MIRACLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA L TAYLOR PSYD (PRESIDENT/CEO)
(248) 767-7647
Entity
Organization

Contact information

Practice address
24166 TRAFALGAR CT, NOVI, MI 48374-3667
(248) 497-1001
Mailing address
24166 TRAFALGAR CT, NOVI, MI 48374-3667
(248) 497-1001

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
133NN1002X
Nutrition Education Nutritionist
225700000X
Massage Therapist

Other

Enumeration date
07/31/2020
Last updated
01/04/2021
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