MEDICARE: HENRY FORD HEALTH EASTWOOD BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	101YM0800X	Mental Health Counselor
3	103TA0400X	Addiction (Substance Use Disorder) Psychologist
4	101YA0400X	Addiction (Substance Use Disorder) Counselor
5	103TB0200X	Cognitive & Behavioral Psychologist
6	106H00000X	Marriage & Family Therapist
7	104100000X	Social Worker

General Provider Information

NPI Number	:	1396787701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY FORD HEALTH EASTWOOD BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 670884
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48267-0884
Country	:	US
Telephone Number	:	800-999-5829
Fax Number	:

Provider Business Practice Location Address
First Line	:	37500 GARFIELD RD STE 175
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48036-3664
Country	:	US
Telephone Number	:	586-792-5335
Fax Number	:	586-792-3061

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KIMBERLY CEBALT
Credential	:
Telephone Number	:	313-874-6764

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	03/12/2026

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