COMPLETE HEALING THERAPY CENTER LLC. NPI 1851002711

NPI Information

NPI: 1851002711
Provider Name: COMPLETE HEALING THERAPY CENTER LLC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
22113 PLEASANT AVE
EASTPOINTE, MI
ZIP 48021
Phone: (248) 574-4328
Get Directions

COMPLETE HEALING THERAPY CENTER LLC. is a mental health (including community mental health center) clinic center in Eastpointe, MI. COMPLETE HEALING THERAPY CENTER LLC. NPI is 1851002711. The provider is registered as an organization entity type.

The provider's business location address is:

22113 PLEASANT AVE
EASTPOINTE, MI
ZIP 48021-477
Phone: (248) 574-4328

The provider's authorized official is Angilean Fleming .
The authorized official title is Owner and has the following contact phone number (313) 449-2975.

The enumeration date for this NPI number is 12/12/2022 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	177F00000X	Lodging		No
2	251B00000X	Case Management		No
3	101Y00000X	Counselor		No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	101YS0200X	Counselor	School	No
6	103TB0200X	Psychologist	Cognitive & Behavioral	No
7	103TC0700X	Psychologist	Clinical	No
8	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		No
9	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
10	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1891463972	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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