Healthcare Provider Details

I. General information

NPI: 1982086468
Provider Name (Legal Business Name): STARR COMMONWEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 RIVER PLACE DR STE 4950
DETROIT MI
48207-4457
US

IV. Provider business mailing address

13725 STARR COMMONWEALTH RD
ALBION MI
49224-9525
US

V. Phone/Fax

Practice location:
  • Phone: 517-630-2379
  • Fax:
Mailing address:
  • Phone: 517-629-5591
  • Fax: 517-630-2572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH A CAREY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 517-629-5591