Healthcare Provider Details

I. General information

NPI: 1255129516
Provider Name (Legal Business Name): THRIVING FAMILIES PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 FISHER RD
GROSSE POINTE MI
48230-1674
US

IV. Provider business mailing address

31925 STAMAN CT
FARMINGTON HILLS MI
48336-1867
US

V. Phone/Fax

Practice location:
  • Phone: 313-444-2630
  • Fax:
Mailing address:
  • Phone: 313-444-2630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY ABREGO
Title or Position: OWNER
Credential: PHD
Phone: 313-444-2630