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General NPI Number Information
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NPI Number | 1366392896
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Entity Type | Organization
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Legal Business Name | GUIDED RECOVERY PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 339 N CENTER ST
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City | NORTHVILLE
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State | MI
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Zip | 48167-1288
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Country | US
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Telephone | 248-924-0140
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Fax | 248-924-0140
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Provider Business Mailing Address
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Address Line | 339 N CENTER ST
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City | NORTHVILLE
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State | MI
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Zip | 48167-1288
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Country | US
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Telephone | 248-924-0140
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Fax | 248-924-0140
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER SEVERE
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Credential | SEVERE
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Telephone | 617-416-8275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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