Healthcare Provider Details

I. General information

NPI: 1447434329
Provider Name (Legal Business Name): TBI SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24750 SWANSON RD
SOUTHFIELD MI
48033-5320
US

IV. Provider business mailing address

24750 SWANSON RD
SOUTHFIELD MI
48033-5320
US

V. Phone/Fax

Practice location:
  • Phone: 248-355-5800
  • Fax: 248-355-5801
Mailing address:
  • Phone: 248-355-5800
  • Fax: 248-355-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number631296
License Number StateMI

VIII. Authorized Official

Name: NINA LANG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 248-355-5800