Organization Active NPI

The Credentialing Agency Tca LLC

  • Specialist
  • Farmington Hills, MI
National Provider Identifier
1508720640
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE CREDENTIALING AGENCY TCA LLC
Practice address
32969 Hamilton CT Ste 138D
Farmington Hills, MI 48334-3351
Phone
(313) 462-9135
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Teela Harris
Title
Ceo
Phone
(313) 462-9135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

32969 Hamilton CT Ste 138D
Farmington Hills, MI 48334-3351

Mailing address

32969 Hamilton CT Ste 138D
Farmington Hills, MI 48334-3351
Phone (313) 462-9135

National Provider Directory

National Provider Directory

Locations

32969 Hamilton Ct
Ste 138D
Farmington Hills, MI 48334
Phone (248) 264-3701

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1508720640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32969 HAMILTON CT STE 138D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343351",
            "telephone_number": "313-462-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32969 HAMILTON CT STE 138D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343351",
            "telephone_number": "313-462-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CREDENTIALING AGENCY TCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TEELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-462-9135"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.