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PROVISIONAL THERAPY ASSOCIATES
NPI 1831943026
Counselor - Professional in West Bloomfield, MI

Active since April 15, 2024
4241 BRECKENRIDGE DR, WEST BLOOMFIELD, MI 48322(248) 240-2963 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Provisional Therapy Associates NPPES

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

PROVISIONAL THERAPY ASSOCIATES (NPI 1831943026) is a healthcare organization registered as a professional in West Bloomfield, Michigan and active in the NPI registry since April 2024. The organization lists Lina Mari Escamilla, Group Representative, as its authorized official.

NPPES Registry Identity

NPI1831943026
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePROVISIONAL THERAPY ASSOCIATES
Location Address4241 BRECKENRIDGE DRWest Bloomfield, MI 48322-4430
Mailing Address4241 Breckenridge DrWest Bloomfield, MI 48322-4430 · (248) 240-2963
Phone(248) 240-2963
Organization SubpartNo
Authorized OfficialLina Mari EscamillaGroup Representative · (248) 240-2963
Enumeration DateApril 15, 2024
NPPES CertifiedApril 14, 2024
✔ NPI 1831943026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4241 BRECKENRIDGE DR, West Bloomfield, MI 48322
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provisional Therapy Associates's NPI number?

The NPI number for Provisional Therapy Associates is 1831943026. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Provisional Therapy Associates located?

Provisional Therapy Associates is located at 4241 Breckenridge Dr, West Bloomfield, MI 48322. The listed phone number is (248) 240-2963.

What is Provisional Therapy Associates's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Provisional Therapy Associates accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Provisional Therapy Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provisional Therapy Associates was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.