Organization · Type 2 NPI
Henry Ford Health System-School Based Health Initiative
Professional Counselor · Detroit, MI
NPI number
1104010578
Active
Practice location
13322 Conant Ave, Hfhs Cleveland Health Center
Detroit, MI 48212
Fax (313) 366-3809
Mailing address
One Ford Place, Ste 4B Hfhs Sbchp
Detroit, MI 48202
Other practice locations
- 155 Cass Ave, Mount Clemens, MI 48043-2203 · (586) 461-3363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Pediatrics Physician | 208000000X | 4301044212 (MI) |
| Physician Assistant | 363A00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Professional Counselor: Definition to come...
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About NPI 1104010578
Henry Ford Health System-School Based Health Initiative's National Provider Identifier is 1104010578, issued on Aug 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Dec 15, 2025.