Wild Blooms Therapy LLC
Wild Blooms Therapy LLC is an Adult Development & Aging Psychologist in Canton, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5840 N Canton Center Rd Ste 282Canton, MI 48187-2614
Phone: (734) 905-0940
Fax: (734) 357-0766
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|---|
| Adult Development & Aging Psychologist | Taxonomy 103TA0700X |
Record details
| NPI number | 1811554470 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nausheen Masood — Director · (734) 709-4259 |
| NPI enumerated | May 20, 2019 |
| Last updated in NPPES | February 10, 2021 |
| Certification date | February 10, 2021 |
| Mailing address | 5840 N Canton Center Rd Ste 282, Canton, MI 48187-2614 |