Provider Demographics
NPI:1366236150
Name:SEBREE AND ASSOCIATES LLC
Entity type:Organization
Organization Name:SEBREE AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:DAWAYNE
Authorized Official - Last Name:SEBREE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:248-416-7740
Mailing Address - Street 1:30875 W 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-4203
Mailing Address - Country:US
Mailing Address - Phone:248-416-7740
Mailing Address - Fax:
Practice Address - Street 1:30875 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-4203
Practice Address - Country:US
Practice Address - Phone:248-416-7740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty