Organization · Type 2 NPI

Brain Bath LLC

Psychiatric/Mental Health Nurse Practitioner · Southfield, MI

NPI number 1639066178 Active

Practice location

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023

Fax (313) 432-6019

Mailing address

2150 Hillhurst Ave
Los Angeles, CA 90027-2012

Other practice locations

  • 5901 S Macadam Ave, Portland, OR 97239-3620 · (989) 465-5707
  • 1833 W 21st St Ste 104, Clovis, NM 88101-4023 · (989) 465-5707
  • 2027 196th St SW Ste A205, Lynnwood, WA 98036-7073 · (989) 465-5707

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639066178

Brain Bath LLC's National Provider Identifier is 1639066178, issued on Jun 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southfield, MI. The record was last updated on Sep 8, 2026.