Organization
THRIVING KIDS BEHAVIORAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANELLE REEVES (EXECUTIVE DIRECTOR)
(517) 528-8886
Entity
Organization
Contact information
Practice address
24225 W 9 MILE RD STE 280, SOUTHFIELD, MI 48033-6708
(248) 876-0175
Mailing address
24225 W 9 MILE RD STE 280, SOUTHFIELD, MI 48033-6708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/07/2024
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