Organization
TWO PATHS INTEGRATIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA BROWN LP (OWNER)
(248) 798-0539
Entity
Organization
Contact information
Practice address
26105 ORCHARD LAKE RD STE 204, FARMINGTON HILLS, MI 48334-4578
(248) 798-0539
Mailing address
26105 ORCHARD LAKE RD STE 204, FARMINGTON HILLS, MI 48334-4578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1316499775
MI
103T00000X
Psychologist
1063949667
MI
103TC0700X
Clinical Psychologist
Primary
1154631588
MI
Other
Enumeration date
05/24/2017
Last updated
05/01/2018
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