Organization Active NPI

At Peace Guidance Services

  • Community/Behavioral Health Agency
  • Riverview, MI
National Provider Identifier
1356719231
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401010824 Issued in MI
Legal business name
AT PEACE GUIDANCE SERVICES
Practice address
16110 King Rd
Riverview, MI 48193-7944
Phone
(734) 365-6764
Fax
(734) 621-6318
NPI assigned
Sep 9, 2015
Reactivated
Apr 11, 2024
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Ms. Tanya Brooks, MA, LPCNPI 1396911954
Title
Co-Owner
Phone
(734) 365-6764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401010824 MI Primary

Addresses

Primary practice location

16110 King Rd
Riverview, MI 48193-7944

Mailing address

PO Box 2059
Taylor, MI 48180-8959
Phone (734) 365-6764

National Provider Directory

National Provider Directory

Locations

16110 King Rd
Riverview, MI 48193
Phone (734) 365-6764

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1356719231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2059",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481808959",
            "telephone_number": "734-365-6764",
            "fax_number": "734-621-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937944",
            "telephone_number": "734-365-6764",
            "fax_number": "734-621-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT PEACE GUIDANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-04-11",
        "deactivation_date": "2023-12-26",
        "reactivation_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "734-365-6764",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401010824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.