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NPI Code Detail

MEDICARE: MS. NEFERTITI RAHEEM

MEDICARE: MS. NEFERTITI RAHEEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801091172MI

General Provider Information

NPI Number : 1578985214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NEFERTITI RAHEEM
Provider Business Mailing Address
First Line : BEVERLY HILLS THERAPY GROUP
Second Line : 31815 SOUTHFIELD RD STE 18
City : BEVERLY HILLS
State : MI
Zip : 48025-5471
Country : US
Telephone Number : 248-480-0115
Fax Number : 248-282-7114
Provider Business Practice Location Address
First Line : 3200 GREENFIELD RD STE 300
Second Line :
City : DEARBORN
State : MI
Zip : 48120-1805
Country : US
Telephone Number : 313-510-2412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2014
Last Update Date : 10/16/2023

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Directions to “ MS. NEFERTITI RAHEEM ” Practice Location

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