Healthcare Provider Details

I. General information

NPI: 1922933522
Provider Name (Legal Business Name): PROVEN HUMAN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7966 PERRY LAKE RD
CLARKSTON MI
48348-4645
US

IV. Provider business mailing address

7966 PERRY LAKE RD
CLARKSTON MI
48348-4645
US

V. Phone/Fax

Practice location:
  • Phone: 248-840-4118
  • Fax:
Mailing address:
  • Phone: 248-840-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT WRIGHT
Title or Position: OWNER
Credential:
Phone: 248-840-4118