Organization

Shining Well Counseling Llc

Counselor in Novi, MI(View on Map)

Legal Business Name

Shining Well Counseling Llc

NPI Number

1972326452

NPI Type

Organization

Enumeration Date

11/04/2024

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 10
22275 CHELSEA LN

City

Mason
Novi

State

MI
MI

Postal Code

48854-0010
48375-4029

Country

US
US

Telephone Number

N/A
(248) 629-0045

Authorized Official

Name

Mary Beth Houpt

Title or Position

CREDENTIALING

Telephone Number

(517) 676-9797

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/04/2024

Provider Address

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