THE SOURCE COUNSELING, CASE MANAGEMENT AND CONSULTATION


Address: 29277 Southfield Rd Ste C, Southfield, MI 48076-1922
Phone: 3134098073

THE SOURCE COUNSELING, CASE MANAGEMENT AND CONSULTATION (NPI# 1437640687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437640687
Entity Type Organization
Organization Name THE SOURCE COUNSELING, CASE MANAGEMENT AND CONSULTATION
Other Organization Name THE SOURCE
Practice Address 29277 Southfield Rd Ste C
Southfield
MI 48076-1922
Mailing Address 18007 Juliana Ave
Eastpointe
MI 48021-3205
Practice Telephone 3134098073
Mailing Telephone 3135443513
Enumeration Date 2018-05-23
Last Update Date 2018-05-23
Authorized Official Name SHANNA JACKSON (OWNER/ COUNSELOR)
Authorized Official Telephone 3135443513
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401013761 MI Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
The Source Doing Business As Name - Organization

Office Location

Street Address 29277 SOUTHFIELD RD STE C
City SOUTHFIELD
State MI
Zip Code 48076-1922

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1699317669 Meadow Lane Rehabilitative Therapies LLC Social Worker 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 2019-10-11
1760035752 Taliah Laneice Williams-hunter Counselor 30119 Sparkleberry Dr., Southfield, MI 48076 2019-07-19
1386114742 Mavis Gail Pookrum Technician 21732 Colony Park Circle #105, Southfield, MI 48076 2018-11-28
1861962417 Millennial Infusion Centers Inc Clinic/Center 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 2018-11-27
1215429212 Debra Deanes Counselor 30233 Southfiels Rd, 203, Southfield, MI 48076 2018-06-05
1437675758 Kenneth Gerard Giles Counselor 29532 Southfield Rd. Suite 208, Southfield, MI 48076 2017-08-17
1902346836 Linsk Psychiatry Services P C Clinic/Center 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 2017-02-25
1023552361 Massage Serenity Community/Behavioral Health 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 2016-12-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538769542 Sherie Justine Posie Counselor 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 2020-10-28
1841803780 Alisa Clemons Counselor 23597 Plum Hollow St, Southfield, MI 48033-3283 2020-08-30
1033770136 Pamela Denise Nelson Counselor 24901 Northwestern Hwy Ste 314b, Southfield, MI 48075-2207 2019-06-28
1851955652 Bettering Lives Counseling Counselor 29420 Candlewood Ln, Southfield, MI 48076-1898 2019-04-26
1437611407 Companion Plus Care Counselor 15700 W 10 Mile Rd Ste 110, Southfield, MI 48075-2100 2019-04-01
1952862153 Tonja Y Lawrence Counselor Uzani Counseling and Consulting, LLPc, 29556 Southfield Rd, Suite 200, Southfield, MI 48076-4807 2019-03-29
1831654326 Introspective Counseling, LLC Counselor 24100 Southfield Rd Ste 204, Southfield, MI 48075-2851 2019-02-08
1528550381 Pamela Mosley-jenkins Counselor 29556 Southfield Rd Ste 200, Southfield, MI 48076-2021 2018-06-06
1831627819 La Tosha Lymon Counselor 24901 Northwestern Hwy Ste 600, Southfield, MI 48075-2210 2017-06-02
1639602261 Evolutions Counseling and Consulting Counselor 24441 Evergreen Rd, Southfield, MI 48075-5559 2017-04-10
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Competitor

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City SOUTHFIELD
Zip Code 48076

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Dataset Information

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.

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