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:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUOT
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:734-785-7700
Mailing Address - Street 1:13101 ALLEN RD STE 400
Mailing Address - Street 2:
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2024-12-12
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
MI750910566OtherBLUE CROSS BLUE SHIELD
MI20555OtherBCBS SA RIDER PROV #
MI444120301OtherTEAMSTER INS
MI750910723OtherBLUE CROSS BLUE SHIELD
MIP48898OtherBLUE CARE NETWORK
MI750910566OtherBLUE CROSS BLUE SHIELD
MI20555OtherBCBS SA RIDER PROV #
MI444120301OtherTEAMSTER INS
MI4750949Medicaid
MI4768246Medicaid
MI4352816Medicaid
MI750910723OtherBLUE CROSS BLUE SHIELD