Willow Creek Centers Pc in Canton - Clinical
Willow Creek Centers Pc - NPI 1336261148
Willow Creek Centers Pc is a Clinical in Canton, Michigan. Willow Creek Centers Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willow Creek Centers Pc is 1336261148. The last update date is 2020-08-22.
Willow Creek Centers Pc's current location address is 41677 Ford Road, Canton, Michigan. You can contact this provider via phone number 7349873100 and fax number 7349816366. The mailing address for Willow Creek Centers Pc is 41677 Ford Road, Canton, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Creek Centers Pc |
|---|---|
| Address | 41677 Ford Road, Canton, Michigan |
| Phone Number | 7349873100 |
| Fax Number | 7349816366 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Anthony Lon James |
| Credentials | PHD |
| Telephone Number | 7349813100 |
NPI Number Detail
| NPI Number | 1336261148 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 41677 Ford Road |
|---|---|
| City | Canton |
| State | Michigan (MI) |
| Post Code | 48187 |
| Phone Number | 7349873100 |
| Fax Number | 7349816366 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the Willow Creek Centers Pc's unique identification number?
The Willow Creek Centers Pc has been assigned the NPI (National Provider Identifier) Number 1336261148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Willow Creek Centers Pc's facilities are geographically located?
The facilities of Willow Creek Centers Pc are physically situated at the following location: 41677 Ford Road, Canton, MI, 48187.
What is Willow Creek Centers Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Willow Creek Centers Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336261148 to Willow Creek Centers Pc?
The Centers for Medicare & Medicaid Services originally issued the 1336261148 to Willow Creek Centers Pc on 2007-04-04.
As of what date were the Willow Creek Centers Pc's details last updated?
The information pertaining to the Willow Creek Centers Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.