Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advance Healing and Integrative Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1619635570

Advance Healing and Integrative Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Oak Park, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12900 W 9 Mile Rd
Oak Park, MI 48237-2990
Phone: (480) 444-8184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1619635570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chenaull Jordan — Owner · (480) 444-8184
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address12900 W 9 Mile Rd, Oak Park, MI 48237-2990

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