Provider Demographics
NPI:1578276150
Name:TOTAL WELLNESS THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:TOTAL WELLNESS THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:DANYSH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-680-6972
Mailing Address - Street 1:22332 GREGORY ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2752
Mailing Address - Country:US
Mailing Address - Phone:734-680-6972
Mailing Address - Fax:
Practice Address - Street 1:22332 GREGORY ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2752
Practice Address - Country:US
Practice Address - Phone:734-680-6972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty