Healthcare Provider Details

I. General information

NPI: 1265340434
Provider Name (Legal Business Name): A & T PRIVATE CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17724 SILVER MAPLE ST
SOUTHFIELD MI
48075-2846
US

IV. Provider business mailing address

17724 SILVER MAPLE ST
SOUTHFIELD MI
48075-2846
US

V. Phone/Fax

Practice location:
  • Phone: 586-945-6048
  • Fax:
Mailing address:
  • Phone: 586-945-6048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. BEVERLY MANLEY
Title or Position: OWNER/MANAGER
Credential: PH.D.
Phone: 586-945-6048