Black Male Therapist Llc

LBN: Black Male Therapist Llc
Black Male Therapist Llc is an health care organization with primary practice located at 21650 W 11 Mile Rd Ste 108 , Southfield MI 48076-3715. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Black Male Therapist Llc can be contacted via phone (248) 973-7177, or through Stuckey, Steven D via phone (248) 973-7177.

Contact Information

Primary practice address
21650 W 11 Mile Rd Ste 108 Southfield MI 48076-3715
Phone: (248) 973-7177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stuckey, Steven D LMSW
Phone: (248) 973-7177

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1194317248
LBN Legal business name Black Male Therapist Llc
DBA Doing business as
Authorized official Stuckey, Steven D LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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