Healthcare Provider Details

I. General information

NPI: 1629771944
Provider Name (Legal Business Name): RED CARDINAL THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 S FENTON RD
HOLLY MI
48442-9102
US

IV. Provider business mailing address

3145 S FENTON RD
HOLLY MI
48442-9102
US

V. Phone/Fax

Practice location:
  • Phone: 248-981-4299
  • Fax:
Mailing address:
  • Phone: 248-660-9640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HALIE BYRD
Title or Position: THERAPIST
Credential: LMSW
Phone: 248-660-9640