Provider Demographics
NPI:1023997426
Name:MCBEAN, RYLEE MARIE
Entity type:Individual
Prefix:
First Name:RYLEE
Middle Name:MARIE
Last Name:MCBEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16500 QUARRY RD APT 209
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1452
Mailing Address - Country:US
Mailing Address - Phone:517-414-7995
Mailing Address - Fax:
Practice Address - Street 1:5111 AUTO CLUB DR STE 112
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2684
Practice Address - Country:US
Practice Address - Phone:248-536-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator