Michigan Behavioral Medicine Pllc
LBN: Michigan Behavioral Medicine Pllc
Michigan Behavioral Medicine Pllc is an health care organization with primary practice located at 2525 Crooks Rd Suite #101, Troy MI 48084-4733. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Michigan Behavioral Medicine Pllc can be contacted via phone (248) 731-7305, or through Joseph, Rene via phone (248) 703-1897.
Contact Information
Primary practice address
2525 Crooks Rd Suite #101
Troy MI 48084-4733
Phone: (248) 731-7305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1144317116 |
|---|---|
| LBN Legal business name | Michigan Behavioral Medicine Pllc |
| DBA Doing business as | |
| Authorized official | Joseph, Rene |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | May 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144317116 | NPPES |
| Massachusetts | Other | 10487 | BLUE CROSS NUMBER |
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