Wyckoff, Temekia M
Wyckoff, Temekia M is an sole proprietor health care provider with primary practice located at 153 California St , Highland Park MI 48203-3517. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Other Service Providers / Case Manager/Care Coordinator, Agencies / Home Health, Agencies / Public Health or Welfare. Agencies / Public Health or Welfare is her primary health care specialty. Wyckoff, Temekia M can be contacted via phone (313) 468-0673.Contact Information
Primary practice address
153 California St
Highland Park MI 48203-3517
Phone: (313) 468-0673
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 802268787 | Michigan |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 802268787 | Michigan |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 802268787 | Michigan |
Agencies / Home Health | 251E00000X | 802268787 | Michigan |
Agencies / Public Health or Welfare | 251K00000X | 802268787 | Michigan |
Profile Details
NPI number | 1972062321 |
---|---|
LBN Legal business name | Wyckoff, Temekia M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2019 |
Last updated | Mar 15th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972062321 | NPPES |
Michigan | MEDICAID | 802268787 |
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