Healthcare Provider Details

I. General information

NPI: 1023928991
Provider Name (Legal Business Name): M HEALING ROUTES CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8582 N CANTON CENTER RD
CANTON MI
48187-1310
US

IV. Provider business mailing address

8582 N CANTON CENTER RD
CANTON MI
48187-1310
US

V. Phone/Fax

Practice location:
  • Phone: 313-316-5085
  • Fax:
Mailing address:
  • Phone: 313-316-5085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMED ABDELSALAM I. MOHAMED
Title or Position: OWNER
Credential: LMSW
Phone: 313-316-5085