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SOUTHPOINTE COUNSELING SERVICES NPI 1710245261


NPI Information

NPI: 1710245261
Provider Name: SOUTHPOINTE COUNSELING SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1927 EUREKA RD
WYANDOTTE, MI
ZIP 48192
Phone: (734) 365-4119
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SOUTHPOINTE COUNSELING SERVICES is a community behavioral health in Wyandotte, 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. SOUTHPOINTE COUNSELING SERVICES NPI is 1710245261. The provider is registered as an organization entity type.

The provider's business location address is:

1927 EUREKA RD
WYANDOTTE, MI
ZIP 48192-009
Phone: (734) 365-4119
Fax: (734) 281-0188

The provider's authorized official is Robert Wayne Gorman .
The authorized official title is Psychologist and has the following contact phone number (734) 365-4119.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 5/2/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health6301005878MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16301005878MEDICAIDMICHIGAN

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: 4/28/2024

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