Organization
METROPOLITAN ARTS COMPLEX INC
Active
Parent organization
METROPOLITAN ARTS COMPLEX INC.
Other names
Metro Arts Therapy Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN ARTS COMPLEX INC.
Authorized official
MRS. AMELITA LEVON MANDINGO PHD, ADS, CHT, CADCM (EXECUTIVE DIRECTOR & CLINICIAN)
(313) 863-5554
Entity
Organization
Contact information
Practice address
11000 W. MCNICHOLS, SUITE B3 & B4, DETROIT, MI 48221
(313) 863-5554
(313) 863-4711
Mailing address
11000 W. MCNICHOLS, SUITE B3 & B4, DETROIT, MI 48221-2357
(313) 863-5554
(313) 863-4711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401010525
MI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6401010525
MI
261QM0850X
Adult Mental Health Clinic/Center
Primary
6401010525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-3204514
—
MI
Enumeration date
03/07/2007
Last updated
10/26/2018
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