Youthquake Pllc

LBN: Youthquake Pllc
Youthquake Pllc is an health care organization with primary practice located at 6760 Leslee Crest Dr , West Bloomfield MI 48322-3722. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Youthquake Pllc can be contacted via phone (248) 505-0558, or through Hus, Marni Lauren via phone (248) 505-0558.

Contact Information

Primary practice address
6760 Leslee Crest Dr West Bloomfield MI 48322-3722
Phone: (248) 505-0558
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hus, Marni Lauren LMSW
Phone: (248) 505-0558

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1700344074
LBN Legal business name Youthquake Pllc
DBA Doing business as
Authorized official Hus, Marni Lauren LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 6th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700344074 NPPES
Michigan MEDICAID 16290403068

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