THE SOURCE
NPI 1437640687
Counselor - Professional in Southfield, MI

Q: What is The Source Counseling, Case Management And Consultation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since May 23, 2018

29277 SOUTHFIELD RD STE C, SOUTHFIELD, MI 48076(313) 409-8073 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Source NPPES

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

THE SOURCE (NPI 1437640687) is a healthcare organization registered as a professional in Southfield, Michigan and active in the NPI registry since May 2018. The organization lists Shanna Jackson, Owner/ Counselor, as its authorized official.

NPPES Registry Identity

NPI1437640687

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameTHE SOURCE COUNSELING, CASE MANAGEMENT AND CONSULTATION

Location Address29277 SOUTHFIELD RD STE CSouthfield, MI 48076-1922

Mailing Address18007 Juliana AveEastpointe, MI 48021-3205 · (313) 544-3513

Phone(313) 409-8073

Organization SubpartNo

Authorized OfficialShanna JacksonOwner/ Counselor · (313) 544-3513

Enumeration DateMay 23, 2018

✔ NPI 1437640687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401013761

29277 SOUTHFIELD RD STE C, Southfield, MI 48076

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Other Names 1

Doing Business AsThe Source

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 MULTIPLE SINGLE SPECIALTY GROUP

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 The Source Counseling, Case Management And Consultation's NPI number?

The NPI number for The Source Counseling, Case Management And Consultation is 1437640687. It was assigned to this organization in the NPPES registry on May 23, 2018. The provider is doing business as The Source.

Where is The Source Counseling, Case Management And Consultation located?

The Source Counseling, Case Management And Consultation is located at 29277 Southfield Rd Ste C, Southfield, MI 48076. The listed phone number is (313) 409-8073.

What is The Source Counseling, Case Management And Consultation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for The Source Counseling, Case Management And Consultation was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.