Team Wellness Center
LBN: Team Mental Health Services Inc.
Team Wellness Center is an health care organization with primary practice located at 2925 Russell St , Detroit MI 48207-4825. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Community Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
Team Mental Health Services Inc. can be contacted via phone (313) 396-5300, or through Pollicella, Antonio via phone (313) 274-3700.
Contact Information
Primary practice address
2925 Russell St
Detroit MI 48207-4825
Phone: (313) 396-5300
Fax: (313) 396-5353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X |
Profile Details
| NPI number | 1588855100 |
|---|---|
| LBN Legal business name | Team Mental Health Services Inc. |
| DBA Doing business as | Team Wellness Center |
| Authorized official | Pollicella, Antonio |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Jan 30th, 2023 - about 2 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 | 1588855100 | NPPES |
| Michigan | MEDICAID | 4696337 |
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