Children'S Hope Services Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

6801083977 Issued in MI

Legal business name

CHILDREN'S HOPE SERVICES INC.

Practice address

15700 W 10 Mile Rd
Suite 215
Southfield, MI 48075-2149

Phone

(248) 252-8806

Fax

(248) 443-5799

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Debra Joyce Martin, LMSW

Title

Executive Director

Phone

(248) 252-8806

Specialties & licenses 2

Addresses

Other names 1

• Children's Hope Counseling Services Other name

Locations

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1942538533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725123",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480725123",
            "telephone_number": "248-252-8806",
            "fax_number": "248-569-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 W 10 MILE RD",
            "address_2": "SUITE 215",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752149",
            "telephone_number": "248-252-8806",
            "fax_number": "248-443-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOPE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-252-8806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801083977",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6801083977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hope Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.