Provider Demographics
NPI:1992269690
Name:ALLIANCE BEHAVIORAL HEALTH SPECIALISTS PLLC
Entity type:Organization
Organization Name:ALLIANCE BEHAVIORAL HEALTH SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAZIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-673-9522
Mailing Address - Street 1:43155 MAIN ST STE 2316
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1781
Mailing Address - Country:US
Mailing Address - Phone:734-673-9522
Mailing Address - Fax:
Practice Address - Street 1:43155 MAIN ST STE 2316
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1781
Practice Address - Country:US
Practice Address - Phone:734-673-9522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-27
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty