Provider Demographics
NPI: | 1467941740 |
---|---|
Name: | THE THERAPY CENTER FOR WELLNESS AND RECOVERY LLP |
Entity Type: | Organization |
Organization Name: | THE THERAPY CENTER FOR WELLNESS AND RECOVERY LLP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINICAL THERAPIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KELLY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PALMER-ALBIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMSW |
Authorized Official - Phone: | 810-259-8772 |
Mailing Address - Street 1: | 2503 S LINDEN RD STE 210 |
Mailing Address - Street 2: | |
Mailing Address - City: | FLINT |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 48532-5449 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 810-259-8772 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2503 S LINDEN RD STE 210 |
Practice Address - Street 2: | |
Practice Address - City: | FLINT |
Practice Address - State: | MI |
Practice Address - Zip Code: | 48532-5449 |
Practice Address - Country: | US |
Practice Address - Phone: | 810-259-8772 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-05-02 |
Last Update Date: | 2020-03-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |