Chance to Change Supportive Services of Michigan Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHANCE TO CHANGE SUPPORTIVE SERVICES OF MICHIGAN INC

Practice address

2751 E Jefferson Ave # 400
Detroit, MI 48207-4105

Phone

(229) 809-0300

NPI assigned

Jul 8, 2026

Organization subpart

No

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

Authorized official

Name

Chestine Washington

Title

Owner

Phone

(229) 809-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1417875360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 HARBOR SIDE BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 E JEFFERSON AVE # 400",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074105",
            "telephone_number": "229-809-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE TO CHANGE SUPPORTIVE SERVICES OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CHESTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-809-0300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Chan, MS, ATC, NASM-PES
• Nichole Chan, FNP-C
• Taffy Dawn CHI-Yan Chan
• Thomas Matthew Yuen Chan, MD
• Tracey E Chan, NP
• Sudha Chand, C.R.N.A.
• Perani Vyjayanthi Chander, MD
• Subhash Chander, MD
• Rekha D Chandir, MD, MPH
• Chandler Home Support LLC

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.