MEDICARE: POSITIVE VIBRATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1548120124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE VIBRATION

Provider Business Mailing Address
First Line	:	16821 MARK TWAIN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-4066
Country	:	US
Telephone Number	:	313-999-8724
Fax Number	:

Provider Business Practice Location Address
First Line	:	39880 VAN DYKE AVE STE 202A
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-4670
Country	:	US
Telephone Number	:	313-999-8724
Fax Number	:	313-370-5660

Authorized Official
Title or Position	:	OWNER
Name	:	CAROL BLAIR-HOUSTON
Credential	:
Telephone Number	:	313-999-8724

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	03/26/2026

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1154449775 — MRS. SALMA ALI SHEIKH
Practice Location Address:

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Directions to “POSITIVE VIBRATION ” Practice Location

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