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

Blue Pearl Wellness, PLLC

Organization Clinical Social Worker · NPI 1578117990

Blue Pearl Wellness, PLLC is a Clinical Social Worker in Southfield, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17344 W 12 Mile Rd Ste 205
Southfield, MI 48076-6321
Phone: (248) 990-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578117990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manjula Kaza-Egan — Practitioner · (248) 200-6061
Other names Manjula Egan, Lmsw
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019
Mailing address13116 Balfour Ave, Huntington Woods, MI 48070-1701

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