Healthcare Provider Details

I. General information

NPI: 1386500106
Provider Name (Legal Business Name): THE FAMILY CENTER OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2025
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3361 BIRCHWOOD ST
TRENTON MI
48183-3682
US

IV. Provider business mailing address

3361 BIRCHWOOD ST
TRENTON MI
48183-3682
US

V. Phone/Fax

Practice location:
  • Phone: 734-747-3308
  • Fax:
Mailing address:
  • Phone: 734-747-3308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL WHITNEY COSBY
Title or Position: OWNER
Credential: LMSW
Phone: 734-747-3308