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General NPI Number Information
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NPI Number | 1194452615
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Entity Type | Organization
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Legal Business Name | JOURNEY TOGETHER PC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 42207 ANN ARBOR RD E
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City | PLYMOUTH
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State | MI
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Zip | 48170-4364
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Country | US
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Telephone | 248-985-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 42207 ANN ARBOR RD E
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City | PLYMOUTH
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State | MI
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Zip | 48170-4364
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Country | US
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Telephone | 248-985-3580
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Fax | 734-464-0687
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHRISTINA CHRISTIE
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Credential |
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Telephone | 248-985-3580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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