Healthcare Provider Details
I. General information
NPI: 1760173322
Provider Name (Legal Business Name): TRUTH AND WELLBEING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3226 COOLIDGE HWY
ROYAL OAK MI
48073-6854
US
IV. Provider business mailing address
43313 WOODWARD AVE STE 1002
BLOOMFIELD HILLS MI
48302-5007
US
V. Phone/Fax
- Phone: 248-733-4470
- Fax:
- Phone: 248-733-4470
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
RODWAY
Title or Position: OWNER
Credential: LPC
Phone: 248-733-4470