Provider Demographics
NPI:1003785445
Name:RATAUCHA A HEARD CARE SERVICES
Entity type:Organization
Organization Name:RATAUCHA A HEARD CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RATAUCHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAADC, CFTC,
Authorized Official - Phone:734-725-9261
Mailing Address - Street 1:2301 S HURON PKWY STE 2B
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5133
Mailing Address - Country:US
Mailing Address - Phone:734-725-9261
Mailing Address - Fax:734-480-8686
Practice Address - Street 1:15530 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3806
Practice Address - Country:US
Practice Address - Phone:734-725-9261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RATAUCHA A HEARD CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)