Provider Demographics
NPI:1104696335
Name:PATIENT THERAPIES LLC
Entity type:Organization
Organization Name:PATIENT THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATIENT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NBC-HWC
Authorized Official - Phone:248-390-3494
Mailing Address - Street 1:23828 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3148
Mailing Address - Country:US
Mailing Address - Phone:248-390-3494
Mailing Address - Fax:
Practice Address - Street 1:23828 HARVEST DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3148
Practice Address - Country:US
Practice Address - Phone:248-390-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty