Provider Demographics
NPI:1235523671
Name:HIDDEN TREASURE BILLING AND CREDENTIALING LLC
Entity Type:Organization
Organization Name:HIDDEN TREASURE BILLING AND CREDENTIALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA
Authorized Official - Phone:586-298-4165
Mailing Address - Street 1:20878 HUNT CLUB DR
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1715
Mailing Address - Country:US
Mailing Address - Phone:586-298-4165
Mailing Address - Fax:
Practice Address - Street 1:20878 HUNT CLUB DR
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1715
Practice Address - Country:US
Practice Address - Phone:586-298-4165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2021-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
247000000X
MIE5849W251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty