Organization Active NPI

Fenton Behavioral Health Services

  • Community/Behavioral Health Agency
  • Fenton, MI
National Provider Identifier
1427390178
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
250045 Issued in MI
Legal business name
FENTON BEHAVIORAL HEALTH SERVICES
Practice address
1122 N Leroy St Ste C
Fenton, MI 48430-2789
Phone
(810) 629-4224
Fax
(810) 629-4234
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Mr. Duane Edward Laguire-Quinn, LMSW, ACSW
Title
Owner/Operator/Practitioner
Phone
(810) 629-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 250045 MI Primary

Addresses

Primary practice location

1122 N Leroy St Ste C
Fenton, MI 48430-2789

Mailing address

1122 N Leroy St Ste C
Fenton, MI 48430-2789
Phone (810) 629-4224

National Provider Directory

National Provider Directory

Locations

1122 N Leroy St
Ste C
Fenton, MI 48430
Phone (810) 629-4224

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1427390178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N LEROY ST STE C",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302789",
            "telephone_number": "810-629-4224",
            "fax_number": "810-629-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N LEROY ST STE C",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302789",
            "telephone_number": "810-629-4224",
            "fax_number": "810-629-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTON BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "LAGUIRE-QUINN",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/OPERATOR/PRACTITIONER",
        "authorized_official_telephone_number": "810-629-4224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "250045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.