Northeast Guidance Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802087135 Issued in MI

Legal business name

NORTHEAST GUIDANCE CENTER

Practice address

2900 Conner St
Detroit, MI 48215-2407

Phone

(313) 308-1400

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Tony Lamont Price, LLBSW

Title

Police Liaison

Phone

(313) 784-3336

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1235552118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CONNOR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48203",
            "telephone_number": "313-308-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152407",
            "telephone_number": "313-308-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "POLICE LIAISON",
        "authorized_official_telephone_number": "313-784-3336",
        "authorized_official_credential": "LLBSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802087135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North East Guidance Center
• North Medical Clinic P C
• Jeanette Eileen North, LLPC
• Wayne Trevor, J North, MD
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.