Provider Demographics
NPI:1184378713
Name:THE THERAPY COLLECTIVE OF MICHIGAN
Entity type:Organization
Organization Name:THE THERAPY COLLECTIVE OF MICHIGAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEZNER-STEPANIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-991-3965
Mailing Address - Street 1:13330 FORT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1137
Mailing Address - Country:US
Mailing Address - Phone:734-361-1416
Mailing Address - Fax:
Practice Address - Street 1:13330 FORT ST
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1137
Practice Address - Country:US
Practice Address - Phone:734-361-1416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty