Provider Demographics
NPI:1235469537
Name:BEHAVIORAL HEALTH AND COUNSELING SERVICES
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH AND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LYLES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-882-0008
Mailing Address - Street 1:20466 WOODCREST
Mailing Address - Street 2:1151 TAYLOR ROOM 514A
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48225
Mailing Address - Country:US
Mailing Address - Phone:313-588-6548
Mailing Address - Fax:313-882-0008
Practice Address - Street 1:20466 WOODCREST ST
Practice Address - Street 2:1151 TAYLOR STREET ROOM 514 A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48225-2074
Practice Address - Country:US
Practice Address - Phone:313-588-6548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1210437251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health