Organization · Type 2 NPI
Black Male Therapist LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Southfield, MI
NPI number
1194317248
Active
Practice location
21650 W 11 Mile Rd Ste 108
Southfield, MI 48076-3715
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...
2 other providers at this address
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About NPI 1194317248
Black Male Therapist LLC's National Provider Identifier is 1194317248, issued on Feb 10, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Southfield, MI. The record was last updated on Feb 10, 2021.