OrganizationActive
Heal Thyself Therapeutics, LLC
NPI 1003419136 · Clinical Social Worker · Milford, MI
Provider details
- NPI number
- 1003419136
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Derrick Jackson, Therapist(810) 434-7933
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Corporate Office Dr Ste 320
Milford, MI 48381-5002
Phone: (810) 434-7933
Street-level locationGet directions
Mailing address
34326 Sheridan St
Westland, MI 48185-8511
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.