| Tbi Behavioral & Residential Consultants, Llc | |
|
34841 Veterans Plz Wayne MI 48184-1733 | |
| (734) 331-9532 | |
| (313) 292-9270 |
| Full Name | Tbi Behavioral & Residential Consultants, Llc |
|---|---|
| Speciality | Community Health Worker |
| Location | 34841 Veterans Plz, Wayne, Michigan |
| Authorized Official Name and Position | Aaron Klassen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7343319532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tbi Behavioral & Residential Consultants, Llc 34841 Veterans Plz Wayne MI 48184-1733 Ph: (734) 331-9532 | Tbi Behavioral & Residential Consultants, Llc 34841 Veterans Plz Wayne MI 48184-1733 Ph: (734) 331-9532 |
| NPI Number | 1326791872 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Medicare PECOS PAC ID | 1759776750 |
|---|---|
| Medicare Enrollment ID | O20220309001510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326791872 | NPI | - | NPPES |
| Provider Name | Colin F King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144344417 PECOS PAC ID: 1052417599 Enrollment ID: I20070509000130 |
| Provider Name | Lorna King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295923464 PECOS PAC ID: 4183711393 Enrollment ID: I20071106000125 |
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