EASTWOOD COMMUNITY CLINICS NPI 1083832547

NPI Information

  • NPI: 1083832547
  • Provider Name: EASTWOOD COMMUNITY CLINICS
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Doing Business As: EASTWOOD CLINICS
  • Address: 5111 AUTO CLUB DR
    # 120
    DEARBORN, MI
    ZIP 48126
  • Phone: (313) 583-0735

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NPI Details

EASTWOOD COMMUNITY CLINICS is a counselor in Dearborn, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. EASTWOOD COMMUNITY CLINICS NPI is 1083832547. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Eastwood Clinics.

The provider's business location address is:

5111 AUTO CLUB DR
# 120
DEARBORN, MI
ZIP 48126-749
Phone: (313) 583-0735
Fax: (313) 583-0751

The provider's authorized official is William H Sheridan .
The authorized official title is Director Of Finance And Administrat and has the following contact phone number (586) 753-0169.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes
2103T00000XPsychologistX
3104100000XSocial WorkerX
4106H00000XMarriage & Family TherapistX
52084P0800XPsychiatry & NeurologyPsychiatryX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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