VISTA MARIA GOOD SHEPHERD NPI 1497928816

NPI Information

  • NPI: 1497928816
  • Provider Name: VISTA MARIA GOOD SHEPHERD
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Other Name: PROGRAM MANAGER
  • CLIA Number: 23D2028349
  • Address: 20651 WEST WARREN
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Phone: (313) 271-3050

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NPI Details

VISTA MARIA GOOD SHEPHERD is a community behavioral health in Dearborn Heights, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VISTA MARIA GOOD SHEPHERD NPI is 1497928816. The provider is registered as an organization entity type.
The provider Other Name Is Program Manager.

The provider's business location address is:

20651 WEST WARREN
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 271-3050

The provider's authorized official is Latonya Howard .
The authorized official title is Program Manager and has the following contact phone number (313) 271-3050.

The CLIA number assigned to this NPI record is 23D2028349 - other - treatment facility behav with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 4/7/2008.

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
1251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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