Provider Demographics
NPI:1639660566
Name:ALETHIA GROUP, LLC
Entity Type:Organization
Organization Name:ALETHIA GROUP, LLC
Other - Org Name:ALETHIA COMPLEX CARE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-621-9590
Mailing Address - Street 1:26400 LAHSER RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2674
Mailing Address - Country:US
Mailing Address - Phone:248-621-9590
Mailing Address - Fax:
Practice Address - Street 1:26400 LAHSER RD STE 220
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2674
Practice Address - Country:US
Practice Address - Phone:248-621-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-26
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1639660566Medicaid