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Mrs. Lakecha Marhonda Tripp
Mental Health Counselor in Southgate, Michigan
NPI 1417225954

Lakecha Marhonda Tripp is a Mental Health Counselor based in Flat Rock, MI and is specialized in Mental Health. Lakecha Marhonda Tripp practices in Southgate, MI. The NPI Number for Lakecha Marhonda Tripp is 1417225954 and holds a License No. (Michigan).

The current practice location address for Lakecha Marhonda Tripp is 14799 Dix Toledo Rd, Southgate, MI and can be reached out via phone at 734-324-8326.

Location: 14799 Dix Toledo Rd, Southgate, MI, 48134-9763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417225954
Provider Name
Lakecha Marhonda Tripp
Credential
Provider Entity Type
Individual
Gender
Female
Address
14799 Dix Toledo Rd, Southgate, MI, 48134-9763
Phone Number
734-324-8326
Fax Number
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TRIPPLA 05 MI
institution
Provider Business Practice Location Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
734-324-8326
Fax Number
person
Provider Business Mailing Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
734-324-8326
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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