Healthcare Provider Details

I. General information

NPI: 1053111021
Provider Name (Legal Business Name): CASSANDRA ARLETTA RADHS CPSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY RADHS CPSS

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24435 PLYMOUTH RD
REDFORD MI
48239-1616
US

IV. Provider business mailing address

24435 PLYMOUTH RD
REDFORD MI
48239-1616
US

V. Phone/Fax

Practice location:
  • Phone: 313-450-0400
  • Fax: 313-450-0404
Mailing address:
  • Phone: 313-450-0400
  • Fax: 313-450-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: