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Organization

AIM BRIGHT COUNSELING SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHONDRA KALI LAWRENCE MDIV, LPC (COUNSELOR/OWNER)
(734) 674-2561
Entity
Organization

Contact information

Practice address
888 W BIG BEAVER RD, TROY, MI 48084-4736
(248) 264-3113
(248) 266-2251
Mailing address
29793 SPRING HILL DR, SOUTHFIELD, MI 48076-1859
(734) 674-2561
(248) 266-2251

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401017413
STATE OF MICHIHAN
MI
Enumeration date
08/03/2021
Last updated
08/03/2021
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