NPI 1508720640

The Credentialing Agency Tca LLC

Organisation Specialist Farmington Hills, MI

Practice location

Address: 32969 Hamilton CT STE 138d, Farmington Hills, MI 48334-3351
Phone: (313) 462-9135

Authorised official

Name: Teela Harris
Title: Ceo
Phone: (313) 462-9135

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1508720640
Entity type: Organization
NPI issued: 12 Dec 2025
Record last updated: 12 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.