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Contact Information

MICHIGAN CENTER FOR TRAUMATIC STRESS
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI48081-1636
 Phone: 586-944-2902
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Psychiatric/Mental Health

163WP0808X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MICHIGAN CENTER FOR TRAUMATIC STRESS · (Female)

NPI # 1518591932
Status Active
Credentials
Entity Individual
Enumeration date 02/25/2020
Last updated 05/06/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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