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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

NPI Number 1518591932
LBN Legal business name MICHIGAN CENTER FOR TRAUMATIC STRESS
Authorized official SYLVIA JOHNSON - (OWNER, PSYCHOTHERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2020
Last updated 05/06/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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