Provider Demographics
NPI:1992929715
Name:AGING RESOURCES, LLC
Entity type:Organization
Organization Name:AGING RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-568-3643
Mailing Address - Street 1:26366 ALGER ST
Mailing Address - Street 2:
Mailing Address - City:MADISON HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3503
Mailing Address - Country:US
Mailing Address - Phone:248-568-3643
Mailing Address - Fax:248-548-1206
Practice Address - Street 1:26366 ALGER ST
Practice Address - Street 2:
Practice Address - City:MADISON HTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3503
Practice Address - Country:US
Practice Address - Phone:248-568-3643
Practice Address - Fax:248-548-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801084753101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0897653OtherBCBS
MI7363837OtherAETNA
MI7363837OtherAETNA