Organization
OK 2 PLAYY
Active
Other names
The Caring Network
Organization subpart
No
Provider details
NPI number
Authorized official
LELA ANN STOVALL LLPC (THERAPIST)
(314) 743-1574
Entity
Organization
Contact information
Practice address
16000 W 9 MILE RD, 112, SOUTHFIELD, MI 48075-4808
(248) 802-0342
(248) 355-5673
Mailing address
16000 W 9 MILE RD, 112, SOUTHFIELD, MI 48075-4808
(248) 802-8003
(248) 355-5673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014828
MI
305R00000X
Preferred Provider Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/12/2016
Last updated
01/17/2017
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