Healthcare Provider Details

I. General information

NPI: 1316747207
Provider Name (Legal Business Name): CDS CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47370 BAKER ST
NOVI MI
48374-3669
US

IV. Provider business mailing address

47370 BAKER ST
NOVI MI
48374-3669
US

V. Phone/Fax

Practice location:
  • Phone: 954-240-1251
  • Fax:
Mailing address:
  • Phone: 954-240-1251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE SIMEON
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 954-240-1251