OrganizationActive
Advance Healing and Integrative Services LLC
NPI 1619635570 · Psychiatric/Mental Health Nurse Practitioner · Oak Park, MI
Provider details
- NPI number
- 1619635570
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chenaull Jordan, Owner(480) 444-8184
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12900 W 9 Mile Rd
Oak Park, MI 48237-2990
Phone: (480) 444-8184
Approximate (ZIP-level) locationGet directions
Mailing address
12900 W 9 Mile Rd
Oak Park, MI 48237-2990
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.