Life Challenge of Southeastern Michigan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN

Practice address

17667 Pierson St
Detroit, MI 48219-2520

Phone

(313) 531-0111

NPI assigned

Nov 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ken Keene, MDIV

Title

Director

Phone

(313) 531-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila Faye Brown-Burrell, LLPC; CAAC

  • Counselor
  • Canton, MI
  • NPI 1235383605
  Medicare reassignment Care Compare group NPD
• Cindy L Lancaster

  • Clinical Social Worker
  • Flint, MI
  • NPI 1265886535
  Medicare reassignment Care Compare group NPD
• Mark Allen Menestrina, MD

  • Addiction Medicine (Family Medicine) Physician
  • Brighton, MI
  • NPI 1265498059
  Medicare reassignment Care Compare group NPD
• Patricia Helene Meyer, LMSW

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1295703171
  Medicare reassignment Care Compare group NPD
• Kristy Kay Lindberg, LPC

  • Professional Counselor
  • Brighton, MI
  • NPI 1346684891
  Medicare reassignment NPD
• Amber Branch, MA, LLPC

  • Professional Counselor
  • Detroit, MI
  • NPI 1457243727
  NPD
• Parris Charmai Leisure

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1295588689
  NPD
• Ceachieh J Yang

  • Counseling Psychologist
  • Detroit, MI
  • NPI 1700562899
  NPD
• Laura Hall, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1750855524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1205304359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17667 PIERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192520",
            "telephone_number": "313-531-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17667 PIERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192520",
            "telephone_number": "313-531-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-531-0111",
        "authorized_official_credential": "MDIV"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Lietz, AGACNP-BC
• Raymond Michael Lievens
• Life & Destiny Builders
• Life and Truth Counseling Services LLC
• Life Center Mihp
• Life Changing Crisis & Respite Center
• Life Encouragement Outreach Ministries
• Life Essentials Home Health Care, Inc
• Life Freedom Counseling LLC
• Life Go's on Transitional Organization

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.