Organization
ORIGINS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ISABELLE LOCKHART LMSW (CEO/FOUNDER/PSYCHOTHERAPIST)
(313) 974-9875
Entity
Organization
Contact information
Practice address
18980 SANTA BARBARA DR, DETROIT, MI 48221-2152
(313) 974-9875
Mailing address
18980 SANTA BARBARA DR, DETROIT, MI 48221-2152
(313) 974-9875
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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