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institution
Tuckerville
Mental Health Clinic/Center (Including Community Mental Health Center) in Wayne, Michigan
NPI 1437626454

Tuckerville is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Van Buren Twp, MI and is specialized in Mental Health (Including Community Mental Health Center). Tuckerville practices in Wayne, MI. The NPI Number for Tuckerville is 1437626454 and holds a License No. (Michigan).

The current practice location address for Tuckerville is 35230 E Michigan Ave, Wayne, MI and can be reached out via phone at 313-312-5706 and via fax at 734-345-4104.

Location: 35230 E Michigan Ave, Wayne, MI, 48111-2488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437626454
Provider Name
Tuckerville
Credential
Provider Entity Type
Organization
Address
35230 E Michigan Ave, Wayne, MI, 48111-2488
Phone Number
313-312-5706
Fax Number
734-345-4104
Provider Enumeration Date
10/29/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8025368 05 MI
institution
Provider Business Practice Location Address Details
Address
35230 E Michigan Ave
City
Wayne
State
Michigan
Zip
48184-3698
Phone Number
313-312-5706
Fax Number
734-345-4104
person
Provider Business Mailing Address Details
Address
35230 E Michigan Ave
City
Wayne
State
Michigan
Zip
48184-3698
Phone Number
313-312-5706
Fax Number
734-345-4104
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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