Organization
FULFILLING LIFE'S YEARNINGS MENTAL HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE SOULET LLC (OWNER)
(248) 736-7541
Entity
Organization
Contact information
Practice address
5756 REVETON RD, WEST BLOOMFIELD, MI 48322-1357
(248) 736-7541
Mailing address
5756 REVETON RD, WEST BLOOMFIELD, MI 48322-1357
(248) 736-7541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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