Profound Psychotherapy Llc
LBN: Profound Psychotherapy Llc
Profound Psychotherapy Llc is an health care organization with primary practice located at 145 S Livernois Rd # 113 , Rochester Hills MI 48307-1837. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Profound Psychotherapy Llc can be contacted via phone (248) 250-0253, or through Van Der Wath, Azeldri via phone (248) 250-2530.
Contact Information
Primary practice address
145 S Livernois Rd # 113
Rochester Hills MI 48307-1837
Phone: (248) 250-0253
Fax:
Website:
Authorized official contact:
Name: Van Der Wath, Azeldri Licensed Clinical Social Worker (LCSW)
Phone: (248) 250-2530
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1376145557 |
|---|---|
| LBN Legal business name | Profound Psychotherapy Llc |
| DBA Doing business as | |
| Authorized official | Van Der Wath, Azeldri Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2020 |
| Last updated | Jan 28th, 2021 - about 3 years 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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