Provider Demographics
NPI:1427373745
Name:THE GUIDANCE CENTER
Entity Type:Organization
Organization Name:THE GUIDANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSW,LMSW
Authorized Official - Phone:734-785-7700
Mailing Address - Street 1:13101 ALLEN RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-2216
Mailing Address - Country:US
Mailing Address - Phone:734-785-7700
Mailing Address - Fax:734-287-8003
Practice Address - Street 1:13101 ALLEN RD
Practice Address - Street 2:SUITE 500
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2216
Practice Address - Country:US
Practice Address - Phone:734-785-7700
Practice Address - Fax:734-287-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI20555OtherBCBS SA RIDER
MI750910723OtherBCBS OPC
MIOH26411Medicare PIN