ENNIS CENTER FOR CHILDREN, INC. (NPI# 1851520589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851520589 |
| Entity Type | Organization |
| Organization Name | ENNIS CENTER FOR CHILDREN, INC. |
| Practice Address |
129 E 3rd St Flint MI 48502 |
| Mailing Address |
129 E 3rd St Flint MI 48502-1728 |
| Practice Telephone | 8102334031 |
| Practice Fax Number | 8102374141 |
| Mailing Telephone | 8102334031 |
| Mailing Fax Number | 8102374141 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | MR. ROBERT E. ENNIS (PRESIDENT) |
| Authorized Official Telephone | 8102334031 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20100 Greenfield Rd, Detroit, MI 482351803 | 8102334031 | 8102374141 |
| 222 Huron Ave, Port Huron, MI 480603822 | 8109901424 | 8109668678 |
| 91 S Telegraph Rd, Pontiac, MI 483411580 | 2483342715 | 2483342720 |
| Street Address |
129 E 3RD ST |
| City | FLINT |
| State | MI |
| Zip Code | 48502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801357553 | Cecelia Williams | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2019-03-26 |
| 1700345311 | Janet Elizabeth Polidan Iv | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2019-03-14 |
| 1760950695 | Sharinese Franklin-jackson | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2018-11-08 |
| 1639645286 | Karol C Barber | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2018-10-22 |
| 1235618604 | Raul Orduna | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2018-08-07 |
| 1881188266 | Lisa Leane Horne | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2018-06-19 |
| 1336525435 | Roberto Rinaldi | Psychologist | 129 E 3rd St, Flint, MI 48502-1728 | 2015-07-31 |
| 1255750709 | Takila Simmons | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2014-04-14 |
| 1083997019 | Ennis Center for Children | Community/Behavioral Health | 129 E 3rd St, Flint, MI 48502-1728 | 2011-09-26 |
| 1063793594 | Robert E Ennis Sr. | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| Find all providers in zip 48502 | ||||
| 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 |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1972130821 | The Serenity House of Flint | Community/Behavioral Health | 720 Ann Arbor St Ste 202, Flint, MI 48503-2696 | 2020-03-23 |
| 1861031098 | Grace Consulting Systems Inc. | Community/Behavioral Health | 2387 S Linden Rd Ste 104, Flint, MI 48532-5487 | 2020-01-06 |
| 1982267993 | New Paths, Inc. | Community/Behavioral Health | 927 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-16 |
| 1225515869 | Flint Odyssey House, Inc | Community/Behavioral Health | 1215 Martin Luther King Ave, Flint, MI 48503-1445 | 2018-07-26 |
| 1124505763 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1310 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1134606775 | Flint Odyssey House, Inc | Community/Behavioral Health | 1316 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-07-26 |
| 1164780268 | Vista Center | Community/Behavioral Health | 249 Peer Ave, Flint, MI 48503-4135 | 2012-04-26 |
| 1104108828 | Centered Insight Healing, Pllc | Community/Behavioral Health | 720 Ann Arbor St, Suite 305, Flint, MI 48503-2696 | 2011-09-20 |
| 1538450267 | Flint Odyssey House Inc. | Community/Behavioral Health | 1225 M L King Ave, Flint, MI 48503-1445 | 2011-04-28 |
| Find all providers in FLINT | ||||
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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.