MEDICARE: SPECTRUM CHILD AND FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	821956	MI
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1245407873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRUM CHILD AND FAMILY SERVICES

Provider Business Mailing Address
First Line	:	28303 JOY RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-5524
Country	:	US
Telephone Number	:	734-458-8736
Fax Number	:

Provider Business Practice Location Address
First Line	:	7430 2ND AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2739
Country	:	US
Telephone Number	:	313-456-6036
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHIRLEY EDWARDS
Credential	:	LMSW
Telephone Number	:	734-458-8736

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	05/13/2008

Similar Medicare Providers

1710952924 — LYNN Y ZOIOPOULOS D.O.
Practice Location Address:

7430 2ND AVE , SUITE 210
DETROIT, MI
48202-2739

Practice Phone: 313-748-4200
Practice Fax: 313-748-4187

1578687612 — SPECTRUM HUMAN SERVICES,INC
Practice Location Address:

7430 2ND AVE , SUITE 900
DETROIT, MI
48202-2739

Practice Phone: 313-456-6000
Practice Fax: 313-935-9911

1083732358 — JODI E. LUSTER LMSW, CAC-I
Practice Location Address:

7430 2ND AVE , ALBERT KAHN BLDG. STE. 900
DETROIT, MI
48202-2739

Practice Phone: 313-456-6009
Practice Fax: 313-935-9311

1679692156 — MRS. SHARON LATRICIA MURRAY LMSW
Practice Location Address:

7430 2ND AVE
DETROIT, MI
48202-2739

Practice Phone: 313-456-6000
Practice Fax: 313-935-9311

1437349172 — SHANETHA BETTS NP
Practice Location Address:

7430 2ND AVE , SUITE 210
DETROIT, MI
48202-2739

Practice Phone: 313-748-4200
Practice Fax:

1609107341 — MS. ANNETRA JONES MS
Practice Location Address:

7430 2ND AVE
DETROIT, MI
48202-2739

Practice Phone: 313-456-6043
Practice Fax:

Directions to “SPECTRUM CHILD AND FAMILY SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.