Provider Demographics
NPI:1447961172
Name:TOTAL ONE BEHAVIORAL SERVICES
Entity type:Organization
Organization Name:TOTAL ONE BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTS
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:248-968-9508
Mailing Address - Street 1:3804 ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3683
Mailing Address - Country:US
Mailing Address - Phone:248-968-9508
Mailing Address - Fax:248-968-9516
Practice Address - Street 1:23300 GREENFIELD RD STE 122
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-8408
Practice Address - Country:US
Practice Address - Phone:248-968-9508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty