Healthcare Provider Details

I. General information

NPI: 1821537267
Provider Name (Legal Business Name): ALEVE THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 02/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26400 LAHSER RD SUITE 345
SOUTHFIELD MI
48033-2624
US

IV. Provider business mailing address

26400 LAHSER RD SUITE 345
SOUTHFIELD MI
48033-2624
US

V. Phone/Fax

Practice location:
  • Phone: 248-419-4253
  • Fax:
Mailing address:
  • Phone: 248-419-4253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: BERTHA HARRIS
Title or Position: OWNER
Credential:
Phone: 248-419-4253