Healthcare Provider Details

I. General information

NPI: 1013380427
Provider Name (Legal Business Name): BRIGHTON FAMILY CENTER, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2015
Last Update Date: 11/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10315 GRAND RIVER RD SUITE 104
BRIGHTON MI
48116-9594
US

IV. Provider business mailing address

10856 MI STATE ROAD 52
MANCHESTER MI
48158-9412
US

V. Phone/Fax

Practice location:
  • Phone: 810-229-0844
  • Fax: 734-428-0960
Mailing address:
  • Phone: 810-229-0844
  • Fax: 734-428-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number4101005450
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101006471
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401012196
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number6301002961
License Number StateMI

VIII. Authorized Official

Name: DR. WARWICK DAVID ARMSTRONG
Title or Position: MANAGER
Credential: PH.D.
Phone: 810-229-0844