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NPI Code Detail

MEDICARE: THE THERAPY COLLECTIVE OF MICHIGAN, PLLC

MEDICARE: THE THERAPY COLLECTIVE OF MICHIGAN, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184378713
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE THERAPY COLLECTIVE OF MICHIGAN, PLLC
Provider Business Mailing Address
First Line : 13330 FORT ST
Second Line :
City : SOUTHGATE
State : MI
Zip : 48195-1137
Country : US
Telephone Number : 734-361-1416
Fax Number :
Provider Business Practice Location Address
First Line : 13330 FORT ST
Second Line :
City : SOUTHGATE
State : MI
Zip : 48195-1137
Country : US
Telephone Number : 734-361-1416
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : EMILY WEZNER-STEPANIAK
Credential : LPC
Telephone Number : 734-991-3965
Provider Enumeration Date : 02/11/2022
Last Update Date : 05/26/2026

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Directions to “THE THERAPY COLLECTIVE OF MICHIGAN, PLLC ” Practice Location

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