NPIMap

Organization Active NPI

Therapy Alliance of Michigan, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton Township, MI
National Provider Identifier
1649863192
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THERAPY ALLIANCE OF MICHIGAN, INC.
Practice address
36750 Theodore St
Clinton Township, MI 48035-1955
Phone
(586) 960-5744
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Amanda J Lilley, LMSWNPI 1629452941
Title
Owner/Ceo
Phone
(586) 960-5744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

36750 Theodore St
Clinton Township, MI 48035-1955

Mailing address

PO Box 380991
Clinton Township, MI 48038-0074
Phone (586) 960-5744

National Provider Directory

National Provider Directory

Locations

33596 Harper Ave
Ste 1
Clinton Twp, MI 48035
Phone (586) 295-9278

11270 E 13 Mile Rd
Ste 2
Warren, MI 48093
Phone (586) 295-9278

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1649863192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380991",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480380074",
            "telephone_number": "586-960-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36750 THEODORE ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351955",
            "telephone_number": "586-960-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ALLIANCE OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "586-960-5744",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.