Michigan Modern Psychology Group,Pllc

LBN: Michigan Modern Psychology Group,Pllc
Michigan Modern Psychology Group,Pllc is an health care organization with primary practice located at 835 Mason St Suite B 220, Dearborn MI 48124-2231. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Michigan Modern Psychology Group,Pllc can be contacted via phone (313) 561-9064, or through Manrique, Manuel A via phone (313) 561-9064.

Contact Information

Primary practice address
835 Mason St Suite B 220 Dearborn MI 48124-2231
Phone: (313) 561-9064
Fax: (313) 563-4480
Website:
Map and Directions
Authorized official contact:
Name: Manrique, Manuel A PHD
Phone: (313) 561-9064

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1447701255
LBN Legal business name Michigan Modern Psychology Group,Pllc
DBA Doing business as
Authorized official Manrique, Manuel A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2016
Last updated May 29th, 2024 - about 4 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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