Organization
THOMAS TRAUMATOLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKPANGI THOMAS MS, LPC, NCC, CT, AC (CEO)
(313) 312-0087
Entity
Organization
Contact information
Practice address
11825 DEXTER AVE, DETROIT, MI 48206-1007
(313) 312-0087
(313) 447-2277
Mailing address
11825 DEXTER AVE, DETROIT, MI 48206-1007
(313) 312-0087
(313) 447-2277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401012784
MI
251300000X
Local Education Agency (LEA)
6401012784
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6401012784
MI
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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