=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861350878
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMPLIFIED CONSULTING CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2026
-----------------------------------------------------
Last Update Date | 01/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17515 W 9 MILE RD STE 350B
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48075-4403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-445-1081
-----------------------------------------------------
Fax | 800-859-9140
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17515 W 9 MILE RD STE 350B
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48075-4403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-445-1081
-----------------------------------------------------
Fax | 800-859-9140
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CASE MANAGER
-----------------------------------------------------
Name | KENDRA WARR-INGRAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-445-1081
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------