MS. KELLY ANNE QUINN (NPI# 1053826933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053826933 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANNE QUINN |
| Credential | MA, LPC |
| Practice Address |
1333 Brewery Park Blvd Ste 140 Detroit MI 48207-4544 |
| Practice Telephone | 3135762513 |
| Practice Fax Number | 3135762501 |
| Mailing Telephone | 3135762513 |
| Mailing Fax Number | 3135762501 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401008081 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSED PROFESSIONAL COUNSELOR | 6401008081 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821457037 | Kelly Hogan Quinn | Nurse Practitioner | 1430 Tulane Ave # 8622, New Orleans, LA 70112-2632 | 2016-02-16 |
| 1891048229 | Kelly Marie Quinn | Nurse Practitioner | 1733 Curie Dr Ste 210, El Paso, TX 79902-2909 | 2012-10-23 |
| 1477873347 | Kelly Anne Quinn | Social Worker | 100 Dudley Rd, Framingham, MA 01702 | 2010-06-02 |
| 1033674676 | Kelly Marie Quinn | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-02-07 |
| 1982014924 | Kelly Brooke Quinn | Dermatology | 225 State Route 35 Ste 208, Red Bank, NJ 07701 | 2014-04-29 |
| 1437576774 | Kelly Quinn | Behavioral Analyst | 3225 Mcleod Dr, Las Vegas, NV 89121-2257 | 2014-03-25 |
| 1053673954 | Kelly Therese Quinn | Specialist | 623 New Loudon Rd, Latham, NY 12110-4031 | 2012-06-15 |
| 1639456379 | Kelly R. Quinn | Nurse Practitioner | 700 S Park St, Suite A, Madison, WI 53715-1830 | 2011-11-09 |
| 1497084750 | Kelly Quinn | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2009-12-16 |
| 1720314420 | Kelly Quinn | Nurse Practitioner | 1900 Randolph Rd Ste 1016, Charlotte, NC 28207 | 2009-10-30 |
| Street Address |
1333 BREWERY PARK BLVD STE 140 |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578612495 | Wellplace | Community/Behavioral Health | 1333 Brewery Park Blvd Ste 140, Detroit, MI 48207-4544 | 2007-01-09 |
| 1982110466 | Peggy Lois Graham | Social Worker | 1333 Brewery Park Blvd Ste 140, Detroit, MI 48207-4544 | 2017-12-20 |
| 1396251963 | Wylene Carol Jones | Social Worker | 1333 Brewery Park Blvd Ste 140, Detroit, MI 48207-4544 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
| 1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
| 1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
| 1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
| 1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
| 1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MS. KELLY ANNE QUINN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.