Active NPI
Behavioral Health Consultants, LLC
- Community/Behavioral Health Agency
- Livonia, MI
National Provider Identifier
1275085706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801089011
- Legal business name
- BEHAVIORAL HEALTH CONSULTANTS, LLC
- Practice address
- 39293 Plymouth Rd
Suite 109a
Livonia, MI 48150-1060 - Phone
- (334) 201-5052
- NPI assigned
- Nov 1, 2016
- Last updated
- Nov 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Vanessa Vaughn-Jackson, LMSW
- Title
- Owner
- Phone
- (334) 201-5052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801089011 | MI | Primary |
Addresses
Primary practice location
39293 Plymouth Rd
Suite 109a
Livonia, MI 48150-1060
Mailing address
39293 Plymouth Rd
Suite 109a
Livonia, MI 48150-1060
National Provider Directory
National Provider DirectoryLocations
39293 Plymouth Rd
Ste 109A
Livonia, MI 48150
Phone (734) 386-0155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1275085706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39293 PLYMOUTH RD",
"address_2": "SUITE 109A",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39293 PLYMOUTH RD",
"address_2": "SUITE 109A",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501060",
"telephone_number": "334-201-5052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "VAUGHN-JACKSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "VANESSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-201-5052",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801089011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.