Organization
BEAUTY FOR ASHES CRISIS AND COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRICE LAVONNE WHITE-JOHNSON LLPC (CLINICAL THERAPIST)
(313) 687-7506
Entity
Organization
Contact information
Practice address
14383 FENTON, REDFORD, MI 48239-3302
(313) 687-7506
Mailing address
14383 FENTON, REDFORD, MI 48239-3302
(313) 687-7506
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MI
251S00000X
Community/Behavioral Health Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
MI
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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