Organization · NPI-2

Belle Vie Therapies LLC

Occupational Therapist, Pediatrics · Saint Clair Shores, MI

NPI number1124668124
StatusActive
Last updated in NPPESJul 22, 2024

Details

NPI
1124668124
Entity type
Organization (NPI-2)
Legal business name
Belle Vie Therapies LLC
Organization subpart
No
Enumeration date
Jan 8, 2020
Certification date
Jul 22, 2024
Last updated
Jul 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics––Yes
225XM0800X Occupational Therapist, Mental Health––

Practice location

20816 E 11 Mile Rd Ste 105
Saint Clair Shores, MI 48081-1578

Phone 313-444-3515 · Fax 313-556-1373

Mailing address

1547 Shore Club Dr
Saint Clair Shores, MI 48080-1574

Phone 313-444-3515 · Fax 313-556-1373

Authorized official

Sara Prigorac
Owner
8106230947

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