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NPI 1699476770

NPI 1699476770 : THERAPEUTIC JOURNEYS : TROY, MI

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General NPI Number Information
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    NPI Number           |    1699476770
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    Entity Type          |    Organization 
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    Legal Business Name  |    THERAPEUTIC JOURNEYS 
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Dates
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    Enumeration Date     |    03/15/2023
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    Last Update Date     |    12/13/2025
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Provider Practice Location Address
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    Address Line         |    801 W BIG BEAVER RD STE 300 
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    City                 |    TROY
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    State                |    MI
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    Zip                  |    48084-4725
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    Country              |    US
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    Telephone            |    248-500-6411
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    Fax                  |    248-243-0226
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Provider Business Mailing Address
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    Address Line         |    25835 MARY ST 
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    City                 |    CHESTERFIELD
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    State                |    MI
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    Zip                  |    48051-2824
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    Country              |    US
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    Telephone            |    248-500-6411
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    Fax                  |    586-684-4291
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Authorized Official
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    Title or Position    |    LICENSE PROFESSIONAL COUNSELOR
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    Name                 |     DARRECIA PRINCESS COOPER 
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    Credential           |    MA
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    Telephone            |    313-971-6693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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