Provider Demographics
NPI:1063869493
Name:DIVERSE RESOLUTIONS
Entity type:Organization
Organization Name:DIVERSE RESOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:THORINGTON-FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, MAC, EDS
Authorized Official - Phone:248-629-9169
Mailing Address - Street 1:14200 W 8 MILE RD
Mailing Address - Street 2:47526
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-7700
Mailing Address - Country:US
Mailing Address - Phone:248-629-9169
Mailing Address - Fax:
Practice Address - Street 1:24500 FORD RD STE 3
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3145
Practice Address - Country:US
Practice Address - Phone:248-629-9169
Practice Address - Fax:248-250-5392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty