Provider Demographics
NPI:1770125213
Name:GOOD THINKER LLC
Entity type:Organization
Organization Name:GOOD THINKER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-207-4645
Mailing Address - Street 1:23115 HOLLANDER ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-2303
Mailing Address - Country:US
Mailing Address - Phone:313-207-4645
Mailing Address - Fax:
Practice Address - Street 1:1721 MORNINGSIDE WAY
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1244
Practice Address - Country:US
Practice Address - Phone:313-207-4645
Practice Address - Fax:877-811-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service