Provider Demographics
NPI:1609947027
Name:THE GUIDANCE CENTER
Entity Type:Organization
Organization Name:THE GUIDANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MR
Authorized Official - First Name:KARI
Authorized Official - Middle Name:D
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials: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:734-785-7705
Mailing Address - Fax:734-785-7746
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:734-785-7705
Practice Address - Fax:734-785-7746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI176740Medicaid
MIP48898OtherBLUE CARE NETWORK
MI000300OtherBHPI CARELINK NETWORK
MI669981OtherBHPI CONSUMER LINK NETWOR
MI4750930Medicaid
MI4512974Medicaid
MI750910566OtherBLUE CROSS BLUE SHIELD
MI20555OtherBCBS SA RIDER PROV #
MI444120301OtherTEAMSTER INS
MI4750949Medicaid
MI4768246Medicaid
MI4352816Medicaid
MI750910723OtherBLUE CROSS BLUE SHIELD