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General NPI Number Information
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NPI Number | 1437065166
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Entity Type | Organization
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Legal Business Name | SEASON THERAPY STUDIO, PLLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 24634 5 MILE RD
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City | REDFORD
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State | MI
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Zip | 48239-3667
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Country | US
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Telephone | 313-702-4374
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Fax |
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Provider Business Mailing Address
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Address Line | 14513 ARTESIAN ST
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City | DETROIT
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State | MI
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Zip | 48223-2226
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Country | US
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Telephone | 313-702-4374
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Fax |
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Authorized Official
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Title or Position | OWNER/ MENTAL HEALTH COUNSELOR
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Name | CORALEEN YVONNE WILSON
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Credential | LPC
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Telephone | 313-501-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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