Organization
THERAPEUTIC LIFESTYLE CHANGES, INC
Active
Other names
Healthy U
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE DEUTSCH-KEAHEY PH.D, R.D. (PRESIDENT)
(248) 508-7827
Entity
Organization
Contact information
Practice address
22750 WOODWARD AVE, SUITE 209, FERNDALE, MI 48220-1777
(248) 508-7827
(248) 644-6121
Mailing address
15960 MARGUERITE ST, BEVERLY HILLS, MI 48025-5630
(248) 508-7827
(248) 644-6121
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215188560
INDIVIDUAL NPI NUMBER
MI
Enumeration date
01/03/2011
Last updated
01/03/2011
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