Organization
CLINICAL HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LEE WEAVER LMSW, CAADC (CLINICIAN)
(586) 318-4221
Entity
Organization
Contact information
Practice address
2 CROCKER BLVD STE 100, MOUNT CLEMENS, MI 48043-2558
(586) 318-4221
Mailing address
35181 PLEASANT FARM RD, RICHMOND, MI 48062-4235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/24/2023
Last updated
12/15/2023
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