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Contact Information

TUCKERVILLE TRANSITIONS
35230 E MICHIGAN AVE
WAYNE, MI48184-3698
 Phone: 313-303-7423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

In Home Supportive Care

253Z00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for TUCKERVILLE TRANSITIONS · (Female)

NPI # 1710505953
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2020
Last updated 03/08/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 8025368
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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