Healthcare Provider Details
I. General information
NPI: 1063380418
Provider Name (Legal Business Name): INTUITIVE TREATMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1118 BENTLEY DR
MONROE MI
48162-3307
US
IV. Provider business mailing address
1118 BENTLEY DR
MONROE MI
48162-3307
US
V. Phone/Fax
- Phone: 586-354-8591
- Fax:
- Phone: 586-354-8591
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REBECCA
JENE
HASSELL
Title or Position: OWNER/CLINICAL SOCIAL WORKER
Credential: LLMSW
Phone: 586-354-8591