Thomas, Raven

Thomas, Raven is an sole proprietor health care provider with primary practice located at 28303 Dequindre Rd Ste 100 , Madison Heights MI 48071-3040. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Thomas, Raven can be contacted via phone (248) 658-1116.

Contact Information

Primary practice address
28303 Dequindre Rd Ste 100 Madison Heights MI 48071-3040
Phone: (248) 658-1116
Fax: (248) 658-1120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1255900254
LBN Legal business name Thomas, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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