EXEC-U-TECH BEHAVIORAL THERAPY (NPI# 1568776086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568776086 |
| Entity Type | Organization |
| Organization Name | EXEC-U-TECH BEHAVIORAL THERAPY |
| Practice Address |
505 Beechwood St River Rouge MI 48218-1041 |
| Mailing Address |
1804 Campau Farms Cir Detroit MI 48207-5164 |
| Practice Telephone | 3133862288 |
| Mailing Telephone | 3134750283 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | MRS. AURELIA LAFAYE KENT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3134750283 |
| Authorized Official Credential | LLMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6801091303 | MI | Agencies |
| Street Address |
505 BEECHWOOD ST |
| City | RIVER ROUGE |
| State | MI |
| Zip Code | 48218-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598089526 | Dorothy Beatrice Jenkins | Psychologist | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-19 |
| 1578887808 | Aurelia Lafaye Kent | Social Worker | 505 Beechwood St, River Rouge, MI 48218-1041 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828397 | City of River Rouge Fire Dept | Ambulance | 10600 W Jefferson Ave, River Rouge, MI 48218 | 2005-11-16 |
| 1487198727 | Jonathan Leslie Tate | Behavior Technician | 258 Polk Ave, River Rouge, MI 48218-1029 | 2016-12-06 |
| 1275901696 | Yaxsaira Pietri | Technician, Other | 539 Polk Ave, River Rouge, MI 48218-1034 | 2015-09-02 |
| 1861799538 | Peoples Community Medical Center PC | Pharmacist | 310 Visger Rd, River Rouge, MI 48218-1037 | 2011-02-16 |
| 1346887866 | Community Care Rx LLC | Pharmacy | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-12-03 |
| 1639734957 | Sumpter Integrated Health Care Clinic P.l.l.c. | Clinic/Center | 310 Visger Rd, River Rouge, MI 48218-1037 | 2019-05-02 |
| 1053709212 | Down River X-press LLC | Non-emergency Medical Transport (VAN) | 146 Charles St, River Rouge, MI 48218-1114 | 2014-12-22 |
| 1528400983 | Maureen M Murphy | Nurse Practitioner | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2013-07-25 |
| 1073993820 | Justin Follebout | Social Worker | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2015-06-08 |
| 1982098570 | Rachel Wallner | Social Worker | 1460 Coolidge Hwy, River Rouge, MI 48218-1118 | 2015-03-23 |
| Find all providers in zip 48218 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | RIVER ROUGE |
| Zip Code | 48218 |
Please comment or provide details below to improve the information on EXEC-U-TECH BEHAVIORAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.