Organization
DIMENSIONS OF WELLNESS, INC., A NONPROFIT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LYNN GOMEZ PSYD (EXECUTIVE DIRECTOR)
(727) 212-1383
Entity
Organization
Contact information
Practice address
17461 ALLEN RD, MELVINDALE, MI 48122-1026
(727) 212-1383
Mailing address
17461 ALLEN RD, MELVINDALE, MI 48122-1026
(727) 212-1383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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