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Michelle Wahula, Lmsw Pllc
Adolescent and Children Mental Health Clinic/Center in Romeo, Michigan
NPI 1184029001

Michelle Wahula, Lmsw Pllc is an Adolescent and Children Mental Health Clinic/Center based in Romeo, MI and is specialized in Adolescent and Children Mental Health. Michelle Wahula, Lmsw Pllc practices in Romeo, MI. The NPI Number for Michelle Wahula, Lmsw Pllc is 1184029001 and holds a License No. 6801094043 (Michigan).

The current practice location address for Michelle Wahula, Lmsw Pllc is 228 N Main St, Romeo, MI and can be reached out via phone at 586-894-8410.

Location: 228 N Main St, Romeo, MI, 48065-4616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184029001
Provider Name
Michelle Wahula, Lmsw Pllc
Credential
Provider Entity Type
Organization
Address
228 N Main St, Romeo, MI, 48065-4616
Phone Number
586-894-8410
Fax Number
Provider Enumeration Date
11/04/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6801094043 01 MI STATE LICENSURE
institution
Provider Business Practice Location Address Details
Address
228 N Main St
City
Romeo
State
Michigan
Zip
48065-4616
Phone Number
586-894-8410
Fax Number
person
Provider Business Mailing Address Details
Address
228 N Main St
City
Romeo
State
Michigan
Zip
48065-4616
Phone Number
586-894-8410
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
6801094043 (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
6801094043 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
6801094043 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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