Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Pearl Wellness, PLLC

Organization Clinical Social Worker · NPI 1578117990

Blue Pearl Wellness, PLLC provides Clinical Social Worker services in Southfield, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17344 W 12 Mile Rd Ste 205
Southfield, MI 48076-6321
Phone: (248) 990-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578117990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manjula Kaza-Egan — Practitioner · (248) 200-6061
Other names Manjula Egan, Lmsw
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019
Mailing address13116 Balfour Ave, Huntington Woods, MI 48070-1701

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