Wood, Malissa
Wood, Malissa is an sole proprietor health care provider with primary practice located at 14067 Lakeside Blvd N , Shelby Township MI 48315-6074. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wood, Malissa can be contacted via phone (586) 255-2482.Contact Information
Primary practice address
14067 Lakeside Blvd N
Shelby Township MI 48315-6074
Phone: (586) 255-2482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401006969 | Michigan |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 630101724 | Michigan |
Profile Details
| NPI number | 1700979838 |
|---|---|
| LBN Legal business name | Wood, Malissa |
| Credentials | MA, LLP, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 5th, 2012 - about 14 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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