Healthcare Provider Details

I. General information

NPI: 1962189142
Provider Name (Legal Business Name): THE LINDEN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16635 RIDGE RD
NORTHVILLE MI
48168-9530
US

IV. Provider business mailing address

16635 RIDGE RD
NORTHVILLE MI
48168-9530
US

V. Phone/Fax

Practice location:
  • Phone: 734-788-6897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SARA BRIDGES
Title or Position: CLINICAL DIRECTOR/BCBA
Credential: MA, BCBA, LBA
Phone: 734-788-6897