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General NPI Number Information
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NPI Number | 1447063342
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Entity Type | Organization
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Legal Business Name | RELATIONSHIP ACADEMY MI, INC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 628 E PARENT AVE STE 105
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City | ROYAL OAK
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State | MI
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Zip | 48067-3766
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Country | US
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Telephone | 248-221-2734
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Fax | 248-747-9417
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Provider Business Mailing Address
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Address Line | 628 E PARENT AVE STE 105
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City | ROYAL OAK
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State | MI
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Zip | 48067-3766
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Country | US
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Telephone | 248-221-2734
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Fax | 248-747-9417
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Authorized Official
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Title or Position | OWNER
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Name | TANDY JURGENSEN
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Credential |
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Telephone | 248-979-1219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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