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:
Map and Directions
Authorized official contact:
Name: Spizarny, Kevin LMSW
Phone: (248) 983-3440

Health care specialties

SpecialtyCodeLicense #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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