1548496540 NPI number — BEHAVIORAL HEALTH AND COUNSELING SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548496540 NPI number — BEHAVIORAL HEALTH AND COUNSELING SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEHAVIORAL HEALTH AND COUNSELING SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548496540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20466 WOODCREST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARPER WOODS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48225-2074
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-882-0008
Provider Business Mailing Address Fax Number:
313-882-0008

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1151 TAYLOR STREET
Provider Second Line Business Practice Location Address:
RM 514A
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48202-2074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-882-0008
Provider Business Practice Location Address Fax Number:
313-882-0008
Provider Enumeration Date:
06/04/2009

Additional Information

Authorized Official

Authorized Official Last Name:
LYLES
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
313-882-0008

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  6801086594 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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