| Doctor Name: | RENEE MASSEY |
| NPI Number: | 1134585599 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 650 Tobin Dr #8 Inkster, MI - 481413589 |
| Business Phone Number: | 3139897903 |
| Business Fax Number: | |
| Mailing Address: | 650 Tobin Dr, #8 INKSTER |
| State: | MI |
| Postal Code: | 481413589 |
| Phone Number: | 3139897903 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2016 |
| NPI Last Update Date: | 01/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |