LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN
NPI 1205304359
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since November 07, 2018
17667 PIERSON ST, DETROIT, MI 48219(313) 531-0111 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Challenge Of Southeastern Michigan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN (NPI 1205304359) is a healthcare organization registered as an addiction (substance use disorder) in Detroit, Michigan and active in the NPI registry since November 2018. The organization lists Ken Keene, Director, as its authorized official.

NPPES Registry Identity

NPI1205304359
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameLIFE CHALLENGE OF SOUTHEASTERN MICHIGAN
Location Address17667 PIERSON STDetroit, MI 48219-2520
Mailing Address17667 Pierson StDetroit, MI 48219-2520 · (313) 531-0111
Organization SubpartNo
Authorized OfficialKen KeeneDirector · (313) 531-0111
Enumeration DateNovember 7, 2018
NPI 1205304359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
17667 PIERSON ST, Detroit, MI 48219

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
17667 PIERSON ST
DETROIT, MI 48219
Counselor (Professional)
17667 PIERSON ST
DETROIT, MI 48219
Psychologist (Counseling)
17667 PIERSON ST
DETROIT, MI 48219
Social Worker (Clinical)
17667 PIERSON ST
DETROIT, MI 48219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Challenge Of Southeastern Michigan's NPI number?

The NPI number for Life Challenge Of Southeastern Michigan is 1205304359. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is Life Challenge Of Southeastern Michigan located?

Life Challenge Of Southeastern Michigan is located at 17667 Pierson St, Detroit, MI 48219. The listed phone number is (313) 531-0111.

What is Life Challenge Of Southeastern Michigan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Life Challenge Of Southeastern Michigan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Life Challenge Of Southeastern Michigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Challenge Of Southeastern Michigan was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.