Healthcare Provider Details

I. General information

NPI: 1508583584
Provider Name (Legal Business Name): ALTERNATIVE BEHAVIORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38099 SCHOOLCRAFT RD STE 199
LIVONIA MI
48150-1029
US

IV. Provider business mailing address

38099 SCHOOLCRAFT RD STE 199
LIVONIA MI
48150-1029
US

V. Phone/Fax

Practice location:
  • Phone: 734-796-7600
  • Fax:
Mailing address:
  • Phone: 734-796-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMMY MCCRORY
Title or Position: CEO
Credential:
Phone: 734-796-7600