HERON RIDGE ASSOCIATES PLC NPI 1013187541

NPI Information

NPI: 1013187541
Provider Name: HERON RIDGE ASSOCIATES, PLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 31000 TELEGRAPH RD
SUITE 120
BINGHAM FARMS, MI
ZIP 48025
Phone: (248) 594-4991

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NPI Details

HERON RIDGE ASSOCIATES, PLC is a mental health (including community mental health center) clinic center in Bingham Farms, MI. HERON RIDGE ASSOCIATES, PLC NPI is 1013187541. The provider is registered as an organization entity type.

The provider's business location address is:

31000 TELEGRAPH RD
SUITE 120
BINGHAM FARMS, MI
ZIP 48025-360
Phone: (248) 594-4991
Fax: (248) 391-7478

The provider's authorized official is Elliott Richelson .
The authorized official title is President, Secretary, Treasurer and has the following contact phone number (904) 605-4986.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 12/30/2022.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	631056	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	463240	OTHER	MICHIGAN	VALUE OPTIONS
2	750910409	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

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: 3/30/2025

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