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NPI 1235047770

NPI 1235047770 : STARRS WATCHFUL EYE SIL LLC : FARMINGTON HILLS, MI

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General NPI Number Information
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    NPI Number           |    1235047770
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    Entity Type          |    Organization 
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    Legal Business Name  |    STARRS WATCHFUL EYE SIL LLC 
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Dates
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    Enumeration Date     |    08/27/2026
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    Last Update Date     |    08/27/2026
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Provider Practice Location Address
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    Address Line         |    29614 KENLOCH DR 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48331-1916
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    Country              |    US
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    Telephone            |    248-949-6657
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    Fax                  |    248-949-6657
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Provider Business Mailing Address
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    Address Line         |    41816 PARK RIDGE RD 
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    City                 |    NOVI
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    State                |    MI
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    Zip                  |    48375-2643
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     SHERMAN  CHRISTIAN-BILLUPS 
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    Credential           |    
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    Telephone            |    248-949-6657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    133NN1002X
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    Taxonomy Name        |    Nutrition Education Nutritionist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    171000000X
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    Taxonomy Name        |    Military Health Care Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    172A00000X
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    Taxonomy Name        |    Driver
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #15
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    Taxonomy Code        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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    License Number       |    
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    License Number State |    
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