Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Headway Michigan Behavioral Health Services, PC

Organization Mental Health Counselor · NPI 1114744356

Headway Michigan Behavioral Health Services, PC provides Mental Health Counselor services in New York, New York. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 Hudson St Fl 9
New York, NY 10013-1810
Phone: (646) 941-7645
Fax: (929) 596-7897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1626 Locust St, Philadelphia, PA 19103-6305 — (646) 453-6777

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Counseling Psychologist Taxonomy 103TC1900X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1114744356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cary Crall — President · (951) 219-7557
NPI enumeratedSeptember 19, 2024
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address205 Hudson St Fl 9, New York, NY 10013-1810

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