Organization
BE WHOLLY PASTORAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVORAH H VINEBURG (OFFICE MANAGER)
(920) 246-4193
Entity
Organization
Contact information
Practice address
15306 FONTAINE PL, OAK PARK, MI 48237-1441
(248) 761-8833
Mailing address
15306 FONTAINE PL, OAK PARK, MI 48237-1441
(248) 761-8833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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