Organization · Type 2 NPI
Rebellious Healing Counseling and Consultation LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Dearborn, MI
NPI number
1104713254
Active
Practice location
24524 Dartmouth St
Dearborn, MI 48124-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1104713254
Rebellious Healing Counseling and Consultation LLC's National Provider Identifier is 1104713254, issued on Jun 20, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Dearborn, MI. The record was last updated on Jun 20, 2025.