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General NPI Number Information
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NPI Number | 1962634899
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH AND COUNSELING SERVICES INC.
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 1151 TAYLOR ST RM 514A
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-989-5502
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Fax | 131-388-2008
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Provider Business Mailing Address
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Address Line | 20466 WOODCREST ST 1151 TAYLOR ROOM 514A
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City | DETROIT
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State | MI
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Zip | 48225-2074
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Country | US
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Telephone | 313-882-0008
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Fax | 131-388-2008
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Authorized Official
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Title or Position | CEO
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Name | MR. ARTHUR A LYLES
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Credential | LMSW, CAAC
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Telephone | 313-882-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6801086594
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License Number State | MI
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