Organization
EMOTIONAL FITNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. LYNN VAUGHN PHD (OWNER)
(248) 921-7922
Entity
Organization
Contact information
Practice address
2440 SHAWOOD ST, NOVI, MI 48377-1970
(248) 921-7922
Mailing address
2440 SHAWOOD ST, NOVI, MI 48377-1970
(248) 921-7922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346292794
IND NPI
MI
01
—
6301006411
LIC #
MI
01
—
680F38144
BLUE CROSS
MI
Enumeration date
05/02/2013
Last updated
05/02/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us