1164602173 NPI number — NORTH POINT - PIONEER, INC

Table of content: (NPI 1164602173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164602173 NPI number — NORTH POINT - PIONEER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH POINT - PIONEER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PIONEER COUNSELING CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164602173
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8391 COMMERCE RD
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
COMMERCE TWP
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48382
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-363-2641
Provider Business Mailing Address Fax Number:
248-363-2762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 HAGGERTY RD
Provider Second Line Business Practice Location Address:
SUITE 2160
Provider Business Practice Location Address City Name:
WEST BLOOMFIELD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-539-0899
Provider Business Practice Location Address Fax Number:
248-539-0482
Provider Enumeration Date:
11/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KERTES
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
BARBARA
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
248-363-2641

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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