Fully Alive Therapeutic Services, Llc
LBN: Fully Alive Therapeutic Services, Llc
Fully Alive Therapeutic Services, Llc is an health care organization with primary practice located at 32910 W 13 Mile Rd Ste D-402 , Farmington Hills MI 48334-1980. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Fully Alive Therapeutic Services, Llc can be contacted via phone (313) 530-7916, or through Spizarny, Kevin via phone (248) 983-3440.
Contact Information
Primary practice address
32910 W 13 Mile Rd Ste D-402
Farmington Hills MI 48334-1980
Phone: (313) 530-7916
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1477151751 |
---|---|
LBN Legal business name | Fully Alive Therapeutic Services, Llc |
DBA Doing business as | |
Authorized official | Spizarny, Kevin LMSW |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 9th, 2020 |
Last updated | Jan 31st, 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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