Organization
QUILTED ROSE CLINICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA WALKER PSYD, LPC (OWNER)
(313) 403-3900
Entity
Organization
Contact information
Practice address
269 WALKER ST STE 256, DETROIT, MI 48207-4258
(828) 276-2788
Mailing address
662 W CANFIELD ST APT 3, DETROIT, MI 48201-1140
(313) 403-3900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/15/2020
Last updated
01/07/2021
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