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:
Map and Directions
Authorized official contact:
Name: Van Der Wath, Azeldri Licensed Clinical Social Worker (LCSW)
Phone: (248) 250-2530

Health care specialties

SpecialtyCodeLicense #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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