Healthcare Provider Details

I. General information

NPI: 1922884683
Provider Name (Legal Business Name): BETTER CHOICE PSYCHOTHERAPY AND COUNSELING CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 INKSTER RD
GARDEN CITY MI
48135-4117
US

IV. Provider business mailing address

577 INKSTER RD
GARDEN CITY MI
48135-4117
US

V. Phone/Fax

Practice location:
  • Phone: 734-338-2148
  • Fax:
Mailing address:
  • Phone: 734-338-2148
  • Fax: 734-338-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MANAL M HAZIME
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LPC
Phone: 313-615-6825