Wyckoff, Temekia M

Wyckoff, Temekia M is an sole proprietor health care provider with primary practice located at 153 California St , Highland Park MI 48203-3517. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Other Service Providers / Case Manager/Care Coordinator, Agencies / Home Health, Agencies / Public Health or Welfare. Agencies / Public Health or Welfare is her primary health care specialty. Wyckoff, Temekia M can be contacted via phone (313) 468-0673.

Contact Information

Primary practice address
153 California St Highland Park MI 48203-3517
Phone: (313) 468-0673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 802268787 Michigan
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 802268787 Michigan
Other Service Providers / Case Manager/Care Coordinator 171M00000X 802268787 Michigan
Agencies / Home Health 251E00000X 802268787 Michigan
Agencies / Public Health or Welfare 251K00000X 802268787 Michigan

Profile Details

NPI number 1972062321
LBN Legal business name Wyckoff, Temekia M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2019
Last updated Mar 15th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972062321 NPPES
Michigan MEDICAID 802268787

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