Provider Demographics
NPI:1568892750
Name:COMFORTING MOMS & BABIES
Entity Type:Organization
Organization Name:COMFORTING MOMS & BABIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:TERRELL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:248-395-5265
Mailing Address - Street 1:17250 W 12 MILE RD
Mailing Address - Street 2:STE 122
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2127
Mailing Address - Country:US
Mailing Address - Phone:248-395-5265
Mailing Address - Fax:248-395-5266
Practice Address - Street 1:17250 W 12 MILE RD
Practice Address - Street 2:STE 122
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2127
Practice Address - Country:US
Practice Address - Phone:248-395-5265
Practice Address - Fax:248-395-5266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare