Doctor Name: | MONIQUE BATES |
NPI Number: | 1346601499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6401014552 |
Business Practice Address: | 34841 Veterans Plz Wayne, MI - 481841733 |
Business Phone Number: | 3132927640 |
Business Fax Number: | |
Mailing Address: | 35481 Stillmeadow Ln, CLINTON TOWNSHIP |
State: | MI |
Postal Code: | 480353244 |
Phone Number: | 3135152500 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2016 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401014552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |