Organization
BEHAVIORAL HEALTH CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE VANESSA VAUGHN-JACKSON LMSW (OWNER)
(334) 201-5052
Entity
Organization
Contact information
Practice address
39293 PLYMOUTH RD, SUITE 109A, LIVONIA, MI 48150-1060
(334) 201-5052
Mailing address
39293 PLYMOUTH RD, SUITE 109A, LIVONIA, MI 48150-1060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801089011
MI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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