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General NPI Number Information
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NPI Number | 1760289995
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Entity Type | Organization
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Legal Business Name | MICHIGAN INSTITUTE
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 8062 CHALLIS RD #1007
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City | BRIGHTON
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State | MI
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Zip | 48116-7446
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Country | US
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Telephone | 810-844-1765
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Fax |
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Provider Business Mailing Address
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Address Line | 8063 CHALLIS RD # 1007
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City | BRIGHTON
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State | MI
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Zip | 48116-7446
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Country | US
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Telephone | 810-844-1765
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Fax |
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Authorized Official
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Title or Position | LLC
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Name | NANCY BURTON
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Credential |
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Telephone | 810-844-1765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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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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