Organization
PROACTIVE MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DEMOPOULOS PSY.D., LLP, LMSW (CO-OWNER)
(586) 219-4782
Entity
Organization
Contact information
Practice address
45184 CASS AVE, UTICA, MI 48317-5507
(586) 930-5590
Mailing address
45184 CASS AVE, UTICA, MI 48317-5507
(586) 930-5590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2016
Last updated
07/24/2016
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