Blaq Therapy

LBN: Blaq Therapy
Blaq Therapy is an health care organization with primary practice located at 24073 Crescent St , Mattawan MI 49071-8457. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Blaq Therapy can be contacted via phone (734) 802-7667, or through Abdallah, Anter via phone (734) 802-7667.

Contact Information

Primary practice address
24073 Crescent St Mattawan MI 49071-8457
Phone: (734) 802-7667
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abdallah, Anter
Phone: (734) 802-7667

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X

Profile Details

NPI number 1609646256
LBN Legal business name Blaq Therapy
DBA Doing business as
Authorized official Abdallah, Anter
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2024
Last updated Jan 4th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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