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General NPI Number Information
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NPI Number | 1063278265
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Entity Type | Organization
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Legal Business Name | SERAPHINE THERAPY & WELLNESS
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 999 HAYNES ST STE 245
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6702
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Country | US
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Telephone | 248-238-8202
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Fax |
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Provider Business Mailing Address
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Address Line | 2581 BLOOMFIELD XING
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-1707
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Country | US
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Telephone | 269-615-6804
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | SARYN CELESTE ULRICH
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Credential | LMSW, LCSW
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Telephone | 269-615-6804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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