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Mr. Matthew Shane Owens, MA
Community/Behavioral Health Agency in Flint, Michigan
NPI 1497883979

Matthew Shane Owens is a Community/Behavioral Health Agency based in Macomb, MI. Matthew Shane Owens practices in Flint, MI and has the professional credentials of MA. The NPI Number for Matthew Shane Owens is 1497883979 and holds a License No. 6361005054 (Michigan).

The current practice location address for Matthew Shane Owens is 420 W 5Th Ave, Flint, MI and can be reached out via phone at 248-678-4749. You can also correspond with Matthew Shane Owens through the mailing address at 19705 VINE DR, MACOMB, MI - 48044-6518 (mailing address contact number: 248-678-4749).

Location: 420 W 5Th Ave, Flint, MI, 48044-6518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497883979
Provider Name
Matthew Shane Owens
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
420 W 5Th Ave, Flint, MI, 48044-6518
Phone Number
248-678-4749
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
386004868 01 MI FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
420 W 5Th Ave
City
Flint
State
Michigan
Zip
48503-2445
Phone Number
248-678-4749
Fax Number
person
Provider Business Mailing Address Details
Address
420 W 5Th Ave
City
Flint
State
Michigan
Zip
48503-2445
Phone Number
248-678-4749
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6301011431 (Michigan)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
6361005054 (Michigan)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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