Healthcare Provider Details

I. General information

NPI: 1447124672
Provider Name (Legal Business Name): SOUTHWEST SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WATERMAN ST
DETROIT MI
48209-2022
US

IV. Provider business mailing address

39136 MURIEL DR
STERLING HEIGHTS MI
48313-4942
US

V. Phone/Fax

Practice location:
  • Phone: 313-554-8861
  • Fax:
Mailing address:
  • Phone: 248-787-5409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANA LORENA KOSOWSKI
Title or Position: CASE MANAGER
Credential:
Phone: 248-787-5409