Healthcare Provider Details

I. General information

NPI: 1720266877
Provider Name (Legal Business Name): WORK SKILLS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SUMMIT ST
BRIGHTON MI
48116-2465
US

IV. Provider business mailing address

100 SUMMIT ST
BRIGHTON MI
48116-2465
US

V. Phone/Fax

Practice location:
  • Phone: 810-227-4868
  • Fax: 810-227-1344
Mailing address:
  • Phone: 810-227-4868
  • Fax: 810-227-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LORI KOZIARA
Title or Position: CONTROLLER
Credential:
Phone: 810-534-6129