Organization
GREAT LAKES WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA C HILLEBRAND LLP (PRESIDENT)
(734) 330-3494
Entity
Organization
Contact information
Practice address
231 LITTLE LAKE DR STE B, ANN ARBOR, MI 48103-6247
(734) 249-8500
Mailing address
231 LITTLE LAKE DR STE B, ANN ARBOR, MI 48103-6247
(734) 249-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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