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THE HEALING PALACE INC NPI 1285038885


NPI Information

NPI: 1285038885
Provider Name: THE HEALING PALACE INC

Doing Business As: FATHERS' FIRST

Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
818 TROMBLEY RD
GROSSE POINTE PARK, MI
ZIP 48230
Phone: (313) 459-6707
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THE HEALING PALACE INC is an addiction (substance use disorder) psychologist in Grosse Pointe Park, MI. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. THE HEALING PALACE INC NPI is 1285038885. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Fathers' First.

The provider's business location address is:

818 TROMBLEY RD
GROSSE POINTE PARK, MI
ZIP 48230-880
Phone: (313) 459-6707

The provider's authorized official is Chontay Taylor .
The authorized official title is Founder and has the following contact phone number (313) 459-6707.

The enumeration date for this NPI number is 10/10/2014 and was last updated on 11/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2103TC2200XPsychologistClinical Child & AdolescentNo
3103TF0200XPsychologistForensicNo
4103TP2701XPsychologistGroup PsychotherapyNo
5103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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