| Doctor Name: | MRS. OLIMPIA NEAGOE |
| NPI Number: | 1063573418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CSW LLP CACI |
| License Number: | 101912 |
| Business Practice Address: | 43368 Woodward Suite 102 Bloomfield Hills, MI - 483020569 |
| Business Phone Number: | 2483351130 |
| Business Fax Number: | 2483354680 |
| Mailing Address: | 335 Applewood Lane, Bloomfield Hills BLOOMFIELD HILLS |
| State: | MI |
| Postal Code: | 483020569 |
| Phone Number: | 2487450900 |
| Fax Number: | 2483354680 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 101912 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |