Interventive Behavioral Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTERVENTIVE BEHAVIORAL COUNSELING SERVICES, LLC

Practice address

35551 Ford Rd
Suite 101
Westland, MI 48185-3113

Phone

(313) 720-6702

Fax

(313) 846-1975

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Lovell Tucker, MSW, MANPI 1114054780

Title

Director

Phone

(313) 720-6702

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Lovell Tucker, LMSW,LPC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1114054780
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1407188386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35551 FORD RD",
            "address_2": "SUITE 101",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853113",
            "telephone_number": "313-720-6702",
            "fax_number": "313-846-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35551 FORD RD",
            "address_2": "SUITE 101",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853113",
            "telephone_number": "313-720-6702",
            "fax_number": "313-846-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIVE BEHAVIORAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOVELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-720-6702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Westland, MI
• Providers in Westland, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.