Healthcare Provider Details

I. General information

NPI: 1487568234
Provider Name (Legal Business Name): VIOLET HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4084 E GRAND RIVER AVE
HOWELL MI
48843-8583
US

IV. Provider business mailing address

2256 ORCHARD LAKE RD
SYLVAN LAKE MI
48320-1750
US

V. Phone/Fax

Practice location:
  • Phone: 248-416-1499
  • Fax: 248-971-1201
Mailing address:
  • Phone: 248-416-1499
  • Fax: 248-971-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name: JALAL J THWAINEY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 313-383-8310