Provider Demographics
NPI:1104108828
Name:CENTERED INSIGHT HEALING, PLLC
Entity type:Organization
Organization Name:CENTERED INSIGHT HEALING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITLANISH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-854-6351
Mailing Address - Street 1:720 ANN ARBOR ST.
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503
Mailing Address - Country:US
Mailing Address - Phone:248-854-6351
Mailing Address - Fax:
Practice Address - Street 1:720 ANN ARBOR ST
Practice Address - Street 2:SUITE 305
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2696
Practice Address - Country:US
Practice Address - Phone:248-854-6351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801063928251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health