Provider Demographics
NPI:1679328017
Name:LAW OFFICE OF LACHELLE C. BUSSELL, PLC
Entity type:Organization
Organization Name:LAW OFFICE OF LACHELLE C. BUSSELL, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LACHELLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-256-7288
Mailing Address - Street 1:6785 TELEGRAPH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3149
Mailing Address - Country:US
Mailing Address - Phone:734-256-7288
Mailing Address - Fax:734-256-7280
Practice Address - Street 1:6785 TELEGRAPH RD STE 201
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3149
Practice Address - Country:US
Practice Address - Phone:734-256-7288
Practice Address - Fax:734-256-7280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management