Blue Lyte Inc.
Organization Active NPI Pastoral Counselor · Wayne, MI
NPI 1104324367 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1104324367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pastoral Counselor 101YP1600X
- Legal business name
- BLUE LYTE INC.
- Practice address
- 35115 E Michigan Ave
Wayne, MI 48184-1660 - Phone
- (248) 615-3042
- Fax
- (248) 615-3047
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Phyllis Clark
- Title
- Executive Director
- Phone
- (248) 615-3042
National Provider Directory
Locations
35115 E Michigan Ave
Wayne, MI 48184
Phone (313) 999-4890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor |
101YP1600X | Yes | ||
| Clinical Social Worker |
1041C0700X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
35115 E Michigan Ave
Wayne, MI 48184-1660
Mailing address
35115 E Michigan Ave
Wayne, MI 48184-1660
Phone (248) 615-3042
Other names
- Blue Lyte Inc.
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.