Organization
SOUL GROWTH PSYCHOLOGICAL SERVICES PLLC
Active
Other names
Soul Growth Psychological Services, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J TUPLING MS, LLP (PRESIDENT)
(248) 840-5933
Entity
Organization
Contact information
Practice address
3760 SLEETH RD, COMMERCE TWP, MI 48382-1670
(248) 840-5933
Mailing address
3760 SLEETH RD, COMMERCE TWP, MI 48382-1670
(248) 840-5933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639592785
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/08/2019
Last updated
03/14/2024
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