Organization
RESILIENT HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DE BEAUSSET LPC (OWNER/ THERAPIST)
(734) 328-2817
Entity
Organization
Contact information
Practice address
3141 W JEFFERSON AVE, TRENTON, MI 48183-2935
(734) 328-2817
Mailing address
21719 W RIVER RD, GROSSE ILE, MI 48138-1443
(215) 919-7220
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
6402026422
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6402026422
MI
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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