Healthcare Provider Details

I. General information

NPI: 1538229877
Provider Name (Legal Business Name): PERFECT SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 03/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 DIXIE HWY
WATERFORD MI
48329-4290
US

IV. Provider business mailing address

3650 DIXIE HWY
WATERFORD MI
48329-4290
US

V. Phone/Fax

Practice location:
  • Phone: 248-674-4630
  • Fax: 248-674-7157
Mailing address:
  • Phone: 248-674-4630
  • Fax: 248-674-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number630811
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number630811
License Number StateMI

VIII. Authorized Official

Name: MR. WILLIAM B THOMPSON
Title or Position: PRESIDENT CEO PROGRAM DIRECTOR
Credential: CADC ICADC
Phone: 248-674-4630