Organization
MJL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEVENSON LMSW (OWNER)
(248) 921-1348
Entity
Organization
Contact information
Practice address
5745 WEST MAPLE ROAD SUITE 213, WEST BLOOMFIELD, MI 48322
(248) 921-1348
(734) 207-5326
Mailing address
5745 WEST MAPLE ROAD SUITE 213, WEST BLOOMFIELD, MI 48322
(248) 921-1348
(734) 207-5326
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6801092847
MI
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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