DREAM PROFESSIONAL SERVICES LLC NPI 1417251943

NPI Information

  • NPI: 1417251943
  • Provider Name: DREAM PROFESSIONAL SERVICES, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 5640 W MAPLE RD
    SUITE 310
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Phone: (248) 932-0290

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NPI Details

DREAM PROFESSIONAL SERVICES, LLC is a mental health (including community mental health center) clinic center in West Bloomfield, MI. DREAM PROFESSIONAL SERVICES, LLC NPI is 1417251943. The provider is registered as an organization entity type.

The provider's business location address is:

5640 W MAPLE RD
SUITE 310
WEST BLOOMFIELD, MI
ZIP 48322-716
Phone: (248) 932-0290
Fax: (248) 932-0358

The provider's authorized official is Kathleen Michelle Fouche Brazzle .
The authorized official title is President and has the following contact phone number (248) 932-0290.

The enumeration date for this NPI number is 12/23/2010 and was last updated on 12/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)4301052026MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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