Provider Demographics
NPI:1760270854
Name:MI GUIDE TEAM
Entity type:Organization
Organization Name:MI GUIDE TEAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-879-9408
Mailing Address - Street 1:20270 MIDDLEBELT RD STE 5
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2000
Mailing Address - Country:US
Mailing Address - Phone:517-879-9408
Mailing Address - Fax:
Practice Address - Street 1:20270 MIDDLEBELT RD STE 5
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2000
Practice Address - Country:US
Practice Address - Phone:517-879-9408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management