OrganizationActive
Blue Lyte Inc.
NPI 1104324367 · Pastoral Counselor · Wayne, MI
Provider details
- NPI number
- 1104324367
- Entity type
- Organization
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Phyllis Clark, Executive Director(248) 615-3042
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
Practice location
35115 E Michigan Ave
Wayne, MI 48184-1660
Phone: (248) 615-3042
Fax: (248) 615-3047
Approximate (ZIP-level) locationGet directions
Mailing address
35115 E Michigan Ave
Wayne, MI 48184-1660
Other names (DBA / former)
- Former legal business name
- Blue Lyte Inc.
- Former legal business name
- Blue Lyte Inc.
Registry dates
- Enumerated
- 2018-01-23
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.