TEAM WELLNESS CENTER
NPI 1295324291
Clinic/Center - Primary Care in Detroit, MI

Q: What is Team Mental Health Services Inc.'s NPI number?

The NPI number for Team Mental Health Services Inc. is 1295324291. It was assigned to this organization in the NPPES registry on January 13, 2021. The provider is doing business as Team Wellness Center.

Q: What is Team Mental Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 13, 2021CLIA 23D2040951 · Waiver

3646 MOUNT ELLIOTT ST, DETROIT, MI 48207(313) 626-2400(313) 921-4125 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2023, Jan 13, 2021 (2 updates tracked since 2021).

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About Team Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEAM WELLNESS CENTER (NPI 1295324291) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 14, 2028, maintains 2 additional practice locations, and lists Antonio Pollicella, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295324291

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameTEAM MENTAL HEALTH SERVICES INC.

Location Address3646 MOUNT ELLIOTT STDetroit, MI 48207-2311

Mailing Address290 Town Center Dr Ste 400Dearborn, MI 48126-2765 · (313) 274-3700 · Fax (313) 274-4900

Phone(313) 626-2400

Fax(313) 921-4125

Organization SubpartNo

Authorized OfficialAntonio PollicellaCeo · (313) 274-3700

Enumeration DateJanuary 13, 2021

Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1295324291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3646 MOUNT ELLIOTT ST, Detroit, MI 48207

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Other Names 1

Doing Business AsTeam Wellness Center

Secondary Practice Locations 2

Location 134290 Ford RdWestland, MI 48185-3051 · Phone (734) 412-8800 · Fax (313) 274-4900

Location 214799 Dix Toledo RdSouthgate, MI 48195-2507 · Phone (734) 324-8326 · Fax (734) 221-0786

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2040951

Team Mental Health Services · Southgate, MI

Active · expires May 14, 2028

CLIA Number23D2040951

Laboratory TypePhysician Office

Certificate Effective DateMay 15, 2026

Certificate Expiration DateMay 14, 2028

Laboratory DirectorSara L. Shields

Laboratory Phone(734) 324-8326

Laboratory LocationTeam Mental Health Services14799 Dix Toledo, Southgate, MI 48195

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARRAH ANN COSTELLA BSW

Social Worker