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General NPI Number Information
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NPI Number | 1508181827
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Entity Type | Organization
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Legal Business Name | THE GUIDANCE CENTER
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 13101 ALLEN RD SUITE 500
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City | SOUTHGATE
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State | MI
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Zip | 48195-2216
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Country | US
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Telephone | 734-785-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 13101 ALLEN RD SUITE 500
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City | SOUTHGATE
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State | MI
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Zip | 48195-2216
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Country | US
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Telephone | 734-785-7700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEROY A LOTT JR.
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Credential | MSW,LMSW
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Telephone | 734-785-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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