Healthcare Provider Details

I. General information

NPI: 1871497461
Provider Name (Legal Business Name): CLEAR PATH HEALTH & SCREENING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29161 VILLAGE RD
SOUTHFIELD MI
48034
US

IV. Provider business mailing address

16998 MIDDLEBELT RD UNIT 5069
LIVONIA MI
48154-3368
US

V. Phone/Fax

Practice location:
  • Phone: 313-236-6466
  • Fax:
Mailing address:
  • Phone: 313-236-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KELLY M KING
Title or Position: OWNER
Credential: LPN
Phone: 313-236-6466