MEDICARE: ALL-HEART BEHAVIORAL HEALTH

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	103T00000X	Psychologist
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1760934525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL-HEART BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	418 N MAIN ST STE 100
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1813
Country	:	US
Telephone Number	:	248-729-6708
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 N MAIN ST STE 100
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1813
Country	:	US
Telephone Number	:	248-729-6708
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. SILVANA NISSAN
Credential	:
Telephone Number	:	248-729-6708

Provider Enumeration Date	:	10/27/2016
Last Update Date	:	11/05/2020

Similar Medicare Providers

1720910995 — KATY LOU KARSTEN
Practice Location Address:

418 N MAIN ST STE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 999-999-9999
Practice Fax:

1063387686 — WISE WELL SUPPLIES INC
Practice Location Address:

418 N MAIN ST FL 2
ROYAL OAK, MI
48067-1813

Practice Phone: 313-465-4301
Practice Fax:

1164668703 — DR. LARRY M GANT LMSW, PHD
Practice Location Address:

418 N. MAIN STREET , SUITE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 313-725-1847
Practice Fax: 313-347-4369

1144762121 — DELTASDH LLC
Practice Location Address:

418 N MAIN ST STE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 248-336-2133
Practice Fax: 248-583-9414

1528523594 — DR. MELISSA RABIDEAU PT
Practice Location Address:

418 N MAIN ST FL 2
ROYAL OAK, MI
48067-1813

Practice Phone: 844-313-2246
Practice Fax: 517-798-5705

1366907339 — OPTIMAL RECOVERY & THERAPY PLLC
Practice Location Address:

418 N MAIN ST FL 2
ROYAL OAK, MI
48067-1813

Practice Phone: 844-313-2246
Practice Fax: 517-798-5705

Directions to “ALL-HEART BEHAVIORAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.