Behavioral Health Consultants, LLC
Community/Behavioral Health in Livonia, MI. Organization (NPI-2).
NPI number1275085706
StatusActive
Last updated in NPPESNov 1, 2016
Details
- NPI
- 1275085706
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Health Consultants, LLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2016
- Last updated
- Nov 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6801089011 | MI | Yes |
Practice location
39293 Plymouth RdSuite 109a
Livonia, MI 48150-1060
Phone 334-201-5052
Mailing address
39293 Plymouth RdSuite 109a
Livonia, MI 48150-1060
Authorized official
Nicole Vanessa Vaughn-Jackson
Owner
3342015052
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