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Organization

LAI PSYCHOLOGICAL SERVICES LLC

Active
Other names
Bloomfield Center for Psychology & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
LORA ALA IMSAIAH LLP (OWNER/PSYCHOLOGIST)
(248) 658-8121
Entity
Organization

Contact information

Practice address
43700 WOODWARD AVE STE 204, BLOOMFIELD HILLS, MI 48302-5061
(248) 658-8121
Mailing address
43206 EMILY DR, STERLING HEIGHTS, MI 48314-6303
(586) 381-3106

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TP2701X
Group Psychotherapy Psychologist
163WP0808X
Psychiatric/Mental Health Registered Nurse
363A00000X
Physician Assistant

Other

Enumeration date
04/08/2024
Last updated
04/08/2024
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