Provider Demographics
NPI:1063269355
Name:REGULATEWELL LLC
Entity type:Organization
Organization Name:REGULATEWELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLIDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:708-829-0797
Mailing Address - Street 1:18965 WARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2273
Mailing Address - Country:US
Mailing Address - Phone:708-829-0797
Mailing Address - Fax:
Practice Address - Street 1:43996 WOODWARD AVE STE 2
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48302-5030
Practice Address - Country:US
Practice Address - Phone:708-829-0797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty