Organization
AVORTEX COUNSELING AND COACHING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA RENAE MCCOY LMSW (CLINICAL SOCIAL WORKER)
(313) 208-2430
Entity
Organization
Contact information
Practice address
641 MCDOUGALL ST, DETROIT, MI 48207-3980
(313) 208-2430
Mailing address
641 MCDOUGALL ST, DETROIT, MI 48207-3980
(313) 208-2430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
680408197
MI
Other
Enumeration date
12/28/2015
Last updated
03/30/2017
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