Brookside Pediatric Therapy Llc

LBN: Brookside Pediatric Therapy Llc
Brookside Pediatric Therapy Llc is an health care organization with primary practice located at 39650 Orchard Hill Pl , Novi MI 48375-5392. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Case Management, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Brookside Pediatric Therapy Llc can be contacted via phone (248) 747-4263, or through Mansour, Yasser via phone (313) 207-4645.

Contact Information

Primary practice address
39650 Orchard Hill Pl Novi MI 48375-5392
Phone: (248) 747-4263
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mansour, Yasser
Phone: (313) 207-4645

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Case Management 251B00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1467225946
LBN Legal business name Brookside Pediatric Therapy Llc
DBA Doing business as
Authorized official Mansour, Yasser
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2023
Last updated Oct 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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