Provider Demographics
NPI:1043263056
Name:HELPSOURCE
Entity type:Organization
Organization Name:HELPSOURCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-973-1900
Mailing Address - Street 1:3879 PACKARD ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2011
Mailing Address - Country:US
Mailing Address - Phone:734-973-1900
Mailing Address - Fax:734-973-2445
Practice Address - Street 1:3879 PACKARD ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2011
Practice Address - Country:US
Practice Address - Phone:734-973-1900
Practice Address - Fax:734-973-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI810044251K00000X, 251300000X
MI322D00000X, 322D00000X, 322D00000X, 322D00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251K00000XAgenciesPublic Health or Welfare
Not Answered251300000XAgenciesLocal Education Agency (LEA)
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4437299Medicaid
MI20493OtherBC/BS SUB ABU PROV #
MIA139433OtherBCN PROV #
MIP49180OtherBCN PROV #