Provider Demographics
NPI:1649019712
Name:RELINE CONSULTING LLC
Entity type:Organization
Organization Name:RELINE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-624-8425
Mailing Address - Street 1:14823 WILLIAMS CT
Mailing Address - Street 2:
Mailing Address - City:GIBRALTAR
Mailing Address - State:MI
Mailing Address - Zip Code:48173-9419
Mailing Address - Country:US
Mailing Address - Phone:734-624-8425
Mailing Address - Fax:
Practice Address - Street 1:13760 DIX TOLEDO RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2434
Practice Address - Country:US
Practice Address - Phone:734-624-8425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty