Innervisions of Michigan

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401009466 Issued in MI

Legal business name

INNERVISIONS OF MICHIGAN

Practice address

8426 Pierson St
Detroit, MI 48228-2830

Phone

(313) 399-1740

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Caprice Ellene Quinn, LPC, CRC

Title

Ceo

Phone

(313) 399-1740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1417104498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 PIERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282830",
            "telephone_number": "313-399-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 PIERSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282830",
            "telephone_number": "313-399-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVISIONS OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "CAPRICE",
        "authorized_official_middle_name": "ELLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-399-1740",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.