Provider Demographics
NPI:1427729490
Name:NEXT GENERATION MIHP, LLC
Entity type:Organization
Organization Name:NEXT GENERATION MIHP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GANT
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW
Authorized Official - Phone:313-413-7382
Mailing Address - Street 1:18701 GRAND RIVER AVE # 181
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2214
Mailing Address - Country:US
Mailing Address - Phone:313-413-7382
Mailing Address - Fax:313-572-9369
Practice Address - Street 1:22901 TIMBERLINE DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3443
Practice Address - Country:US
Practice Address - Phone:313-413-7382
Practice Address - Fax:313-572-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency