Mccullough, Willie

Mccullough, Willie is an sole proprietor health care provider with primary practice located at 23751 Coyle St , Oak Park MI 48237-1929. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mccullough, Willie can be contacted via phone (248) 506-5891.

Contact Information

Primary practice address
23751 Coyle St Oak Park MI 48237-1929
Phone: (248) 506-5891
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401013637 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 261QA0600X Michigan

Profile Details

NPI number 1104292127
LBN Legal business name Mccullough, Willie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2015
Last updated Aug 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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