Healthcare Provider Details

I. General information

NPI: 1588979686
Provider Name (Legal Business Name): HARMONY TURNING POINT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 04/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20755 GREENFIELD RD SUITE 100
SOUTHFIELD MI
48075-5403
US

IV. Provider business mailing address

20755 GREENFIELD RD SUITE 100
SOUTHFIELD MI
48075-5403
US

V. Phone/Fax

Practice location:
  • Phone: 248-275-3180
  • Fax:
Mailing address:
  • Phone: 248-275-3180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4301041053
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4301041053
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301041053
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number4301041053
License Number StateMI

VIII. Authorized Official

Name: JONATHAN AGBEBIYI
Title or Position: CEO
Credential: M.D.
Phone: 248-275-3180