Provider Demographics
NPI:1346417797
Name:BIRGIT AMANN M D P L L C
Entity Type:Organization
Organization Name:BIRGIT AMANN M D P L L C
Other - Org Name:BEHAVIORAL MEDICAL CENTER-TROY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BIRGIT
Authorized Official - Middle Name:HELMLE
Authorized Official - Last Name:AMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-764-8440
Mailing Address - Street 1:1639 E BIG BEAVER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2053
Mailing Address - Country:US
Mailing Address - Phone:248-764-8440
Mailing Address - Fax:
Practice Address - Street 1:1639 E BIG BEAVER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2053
Practice Address - Country:US
Practice Address - Phone:248-764-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health