TEAM WELLNESS (NPI# 1417315466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417315466 |
| Entity Type | Organization |
| Organization Name | TEAM WELLNESS |
| Practice Address |
14799 Dix-toledo Rd Southgate MI 48915 |
| Mailing Address |
921 Howard St Dearborn MI 48124 |
| Practice Telephone | 7343248326 |
| Practice Fax Number | 7343248327 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | AMALIA SOUTH (HUMAN RESOURCE DIRECTOR) |
| Authorized Official Telephone | 3132743700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TEAM WELLNESS LLC | 7303 Ne Prescott St, Apt 1, Portland, OR 97218 |
| New York State Corporations | TEAM WELLNESS MASSAGE THERAPY & CHIROPRACTIC PLLC | 80 Wall Street, Ste 213, New York, New York 10005 |
| Street Address |
14799 DIX-TOLEDO RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844042 | Connie Elaine Crump | Home Health | 730 W. Ionia St Apt 303, Lansing, MI 48915 | 2020-08-31 |
| 1164905675 | Jenna Debryn | Counselor | The Guidance Center, 13101 Allen Rd. Building 4, Southgate, MI 48915 | 2018-09-11 |
| 1154799419 | Amy S Campbell | Marriage & Family Therapist | 1805 Inverness Ave, Lansing, MI 48915 | 2015-09-03 |
| 1619206513 | Professional Peer Services | Community/Behavioral Health | 316 S Martin L King Blvd, # 2, Lansing, MI 48915 | 2009-12-24 |
| 1750551651 | Steven Shawn Sylvertooth | Physical Therapy Assistant | 818 Max Ave, Lansing, MI 48915-1016 | 2008-03-06 |
| 1225654361 | Latoria Hudson Mcdonald | Case Manager/Care Coordinator | 400 Everett Dr, Lansing, MI 48915-1106 | 2020-06-24 |
| 1174064901 | Kristen Cole Boeskool | Social Worker | 516 Everett Dr, Lansing, MI 48915-1108 | 2017-03-13 |
| 1245352087 | Maxine Thome | Social Worker | 1531 Osborn Rd, Lansing, MI 48915-1282 | 2007-04-04 |
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1407475262 | Jakayla Vinson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-04-13 |
| Find all providers in zip 48915 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068973 | Suzy Peper Counseling Services LLC | Community/Behavioral Health | 14950 Northline Rd, Southgate, MI 48195-2478 | 2019-05-15 |
| 1376910810 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Southgate, MI 48195-2216 | 2015-09-01 |
| 1881954923 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Southgate, MI 48195-2216 | 2012-05-23 |
| 1861765166 | Michelle Elaine Sample | Community/Behavioral Health | 13101 Allen Rd, Southgate, MI 48195-2216 | 2012-02-16 |
| 1538445952 | Sherelle J Palmer | Community/Behavioral Health | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2011-10-31 |
| 1629357942 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Southgate, MI 48195-2216 | 2011-08-04 |
| 1538450036 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Southgate, MI 48195-2216 | 2011-05-02 |
| 1720381692 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Suite 500, Southgate, MI 48195-2216 | 2010-12-14 |
| 1427373745 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Suite 500, Southgate, MI 48195-2216 | 2010-03-30 |
| 1508181827 | The Guidance Center | Community/Behavioral Health | 13101 Allen Rd, Suite 500, Southgate, MI 48195-2216 | 2010-03-30 |
| Find all providers in SOUTHGATE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.