Provider Demographics
NPI:1851049340
Name:HEALING PERSPECTIVES TIME WELL SPENT COUNSELING AND RESOURCE CENT
Entity Type:Organization
Organization Name:HEALING PERSPECTIVES TIME WELL SPENT COUNSELING AND RESOURCE CENT
Other - Org Name:HEALING PERSPECTIVES TIME WELL SPENT COUNSELING AND RESOURCE CENTER,
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:REBENSTOCK, LMSW, CAADC
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CAADC
Authorized Official - Phone:248-605-5049
Mailing Address - Street 1:5600 W MAPLE RD STE B212
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3787
Mailing Address - Country:US
Mailing Address - Phone:248-605-5049
Mailing Address - Fax:
Practice Address - Street 1:5600 W MAPLE RD STE B212
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3787
Practice Address - Country:US
Practice Address - Phone:248-605-5049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty