person
Dr. Richard Michael Heavenrich, PHD
Mental Health Counselor in Royal Oak, Michigan
NPI 1205993490

Richard Michael Heavenrich is a Mental Health Counselor based in Royal Oak, MI and is specialized in Mental Health. Richard Michael Heavenrich practices in Royal Oak, MI and has the professional credentials of PHD. The NPI Number for Richard Michael Heavenrich is 1205993490 and holds a License No. 6301002375 (Michigan).

The current practice location address for Richard Michael Heavenrich is 628 N Main St, Royal Oak, MI and can be reached out via phone at 248-544-9330 and via fax at 248-544-9330. You can also correspond with Richard Michael Heavenrich through the mailing address at 628 N MAIN ST, ROYAL OAK, MI - 48067-1834 (mailing address contact number: 248-544-9330).

Location: 628 N Main St, Royal Oak, MI, 48067-1834
person
Provider Profile Details
NPI Number
1205993490
Provider Name
Richard Michael Heavenrich
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
628 N Main St, Royal Oak, MI, 48067-1834
Phone Number
248-544-9330
Fax Number
248-544-9330
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11278327 01 MI CAQH ID NUMBER
institution
Provider Business Practice Location Address Details
Address
628 N Main St
City
State
Zip
48067-1834
Phone Number
248-544-9330
Fax Number
248-544-9330
person
Provider Business Mailing Address Details
Address
628 N Main St
City
State
Zip
48067-1834
Phone Number
248-544-9330
Fax Number
248-544-9330
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6301002375 (Michigan)
Definition
Definition to come...
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