Healthcare Provider Details

I. General information

NPI: 1124539085
Provider Name (Legal Business Name): NEW DIRECTION NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 S 24TH ST
SAGINAW MI
48601-6509
US

IV. Provider business mailing address

4444 STATE ST APT L332
SAGINAW MI
48603-5106
US

V. Phone/Fax

Practice location:
  • Phone: 989-992-4973
  • Fax:
Mailing address:
  • Phone: 989-992-4973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateMI

VIII. Authorized Official

Name: KHADIJAH MURRELL
Title or Position: CEO/SOCIAL WORKER
Credential:
Phone: 989-992-4973