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NPI Code Detail

MEDICARE: LINCOLN BEHAVIORAL SERVICES

MEDICARE: LINCOLN BEHAVIORAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1669451944
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINCOLN BEHAVIORAL SERVICES
Provider Business Mailing Address
First Line : 9315 TELEGRAPH RD
Second Line :
City : REDFORD
State : MI
Zip : 48239-1260
Country : US
Telephone Number : 313-450-4500
Fax Number : 313-450-4514
Provider Business Practice Location Address
First Line : 9315 TELEGRAPH RD
Second Line :
City : REDFORD
State : MI
Zip : 48239
Country : US
Telephone Number : 313-450-4500
Fax Number : 313-450-4514
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : THERESA KORROCH
Credential : MS, LLP
Telephone Number : 313-450-4500
Provider Enumeration Date : 01/13/2006
Last Update Date : 05/04/2026

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Directions to “LINCOLN BEHAVIORAL SERVICES ” Practice Location

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