Healthcare Provider Details

I. General information

NPI: 1497989263
Provider Name (Legal Business Name): THERAPEUTIC CONCEPTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35514 INDIGO DR
STERLING HEIGHTS MI
48310-4946
US

IV. Provider business mailing address

35514 INDIGO DR
STERLING HEIGHTS MI
48310-4946
US

V. Phone/Fax

Practice location:
  • Phone: 586-979-8118
  • Fax:
Mailing address:
  • Phone: 586-979-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD ROBERT NAGY
Title or Position: BUSINESS MANAGER
Credential:
Phone: 586-979-8118