Provider Demographics
NPI:1134787633
Name:BEHAVIORAL HEALTH PROFESSIONALS, INC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH PROFESSIONALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-656-0003
Mailing Address - Street 1:1333 BREWERY PARK BLVD.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207
Mailing Address - Country:US
Mailing Address - Phone:313-656-0000
Mailing Address - Fax:313-656-2589
Practice Address - Street 1:19750 BURT ROAD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219
Practice Address - Country:US
Practice Address - Phone:313-656-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEHAVIORAL HEALTH PROFESSIONALS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-31
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty