Southfield Mental Health Associates Pc
LBN: Southfield Mental Health Associates Pc
Southfield Mental Health Associates Pc is an health care organization with primary practice located at 17320 W 12 Mile Rd Suite 101, Southfield MI 48076-2102. 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.
Southfield Mental Health Associates Pc can be contacted via phone (248) 557-3606, or through Gusman, Lawrence J via phone (248) 557-3606.
Contact Information
Primary practice address
17320 W 12 Mile Rd Suite 101
Southfield MI 48076-2102
Phone: (248) 557-3606
Fax: (248) 557-4697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1619015872 |
|---|---|
| LBN Legal business name | Southfield Mental Health Associates Pc |
| DBA Doing business as | |
| Authorized official | Gusman, Lawrence J PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1619015872 | NPPES |
| Michigan | Other | 302643 | VALUE OPTIONS |
| Michigan | Other | 7509106210 | VALUE OPTIONS |
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