Provider Demographics
NPI:1972474799
Name:HALCYON CLINICAL CONSULTANTS LLC
Entity type:Organization
Organization Name:HALCYON CLINICAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JUILIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TOWNSLEY BASS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-231-5335
Mailing Address - Street 1:29218 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-1985
Mailing Address - Country:US
Mailing Address - Phone:313-231-5335
Mailing Address - Fax:
Practice Address - Street 1:26150 5 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3244
Practice Address - Country:US
Practice Address - Phone:313-231-5335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty