Provider Demographics
NPI:1366040941
Name:SONGBIRD HEALTH MI LLC
Entity Type:Organization
Organization Name:SONGBIRD HEALTH MI LLC
Other - Org Name:SONGBIRD THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-244-4592
Mailing Address - Street 1:2370 E STADIUM BLVD # 2060
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4811
Mailing Address - Country:US
Mailing Address - Phone:734-224-5933
Mailing Address - Fax:209-336-0490
Practice Address - Street 1:2370 E STADIUM BLVD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4811
Practice Address - Country:US
Practice Address - Phone:734-224-5933
Practice Address - Fax:209-336-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty