Provisional Therapy Associates

LBN: Provisional Therapy Associates
Provisional Therapy Associates is an health care organization with primary practice located at 4241 Breckenridge Dr , West Bloomfield MI 48322-4430. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Provisional Therapy Associates can be contacted via phone (248) 240-2963, or through Escamilla, Lina Mari via phone (248) 240-2963.

Contact Information

Primary practice address
4241 Breckenridge Dr West Bloomfield MI 48322-4430
Phone: (248) 240-2963
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Escamilla, Lina Mari LMSW
Phone: (248) 240-2963

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1831943026
LBN Legal business name Provisional Therapy Associates
DBA Doing business as
Authorized official Escamilla, Lina Mari LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2024
Last updated Apr 15th, 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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