Organization
ELYSIAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI MORENO LMSW - CLINICAL (PSYCHOTHERAPIST/OWNER)
(734) 548-3606
Entity
Organization
Contact information
Practice address
12663 CLINTON RD, CLINTON, MI 49236-9670
(734) 548-3606
Mailing address
12663 CLINTON RD, CLINTON, MI 49236-9670
(734) 548-3606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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