Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fully Alive Therapeutic Services, LLC

Organization Adult Mental Health Clinic/Center · NPI 1477151751

Fully Alive Therapeutic Services, LLC is an Adult Mental Health Clinic/Center in Farmington Hills, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

32910 W 13 Mile Rd Ste D-402
Farmington Hills, MI 48334-1980
Phone: (313) 530-7916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1477151751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Spizarny — Owner · (248) 983-3440
NPI enumeratedOctober 9, 2020
Last updated in NPPESJanuary 31, 2021
Certification dateJanuary 31, 2021
Mailing address26350 Kiltartan St, Farmington Hills, MI 48334-4834

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