Organization · Type 2 NPI
Personalized Nursing Light House, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Plymouth, MI
NPI number
1639201262
Active
Practice location
575 S Main St Ste 6
Plymouth, MI 48170-1778
Fax (734) 451-5410
Mailing address
575 S Main St, Suite 6
Plymouth, MI 48170-1778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 821032 (MI) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
22 other providers at this address
- Alicia Regina BeeneyAddiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1447950480
- Amy L. WeronkaSocial Worker Plymouth, MI NPI 1609532035
- Angela Elaine Benvenuto, BSWAddiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1790496800
- Ashley Ann Nazaroff, BS, CAADC-DPAddiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1396323754
- Carlo Rafael GiannecchiniAddiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1558054825
- Clare WaterstradtAddiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1326578659
- Creed Stegall-MonroeAddiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1881374692
- Deirdre Michelle Hicks, AGS, CAC-1Addiction (Substance Use Disorder) Counselor Plymouth, MI NPI 1649499633
- Jacqulyn R. Kane, LLMSWSocial Worker Plymouth, MI NPI 1811687528
- Jaronica Marie WhiteheadCase Manager/Care Coordinator Plymouth, MI NPI 1841842960
- Katherine Wolfe, LLBSWBehavior Technician Plymouth, MI NPI 1194363549
- Kimberly Rae Mahaffa, LMSW, CAADCClinical Social Worker Plymouth, MI NPI 1508284951
About NPI 1639201262
Personalized Nursing Light House, Inc.'s National Provider Identifier is 1639201262, issued on Mar 9, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Plymouth, MI. The record was last updated on May 7, 2018.