Organization
INTEGRATIVE MENTAL HEALTH & WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE LOVELL MABURY (OWNER)
(586) 771-7253
Entity
Organization
Contact information
Practice address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
Mailing address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011565
MI
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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