KIM LOGAN COMMUNICATIONS CLINIC INC (NPI# 1073810644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073810644 |
| Entity Type | Organization |
| Organization Name | KIM LOGAN COMMUNICATIONS CLINIC INC |
| Practice Address |
3011 W Grand Blvd Suite 423 Detroit MI 48202-3096 |
| Practice Telephone | 3136644900 |
| Practice Fax Number | 3136644901 |
| Mailing Telephone | 3136644900 |
| Mailing Fax Number | 3136644901 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | KAREN O ANDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 3136644900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301011558 | MI | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801068236 | MI | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
6301011558 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | 12068248 | MD | Speech, Language and Hearing Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401001940 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134318066 | Kim Logan Communications Clinic Inc | Counselor | 8313 Grand River Ave, Detroit, MI 48204-2231 | 2007-10-16 |
| Street Address |
3011 W GRAND BLVD SUITE 423 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518956259 | Debra Ann Brodie | Psychologist | 3011 W Grand Blvd, Suite 418, Detroit, MI 48202-3096 | 2005-10-16 |
| 1073124772 | Crystal A. Jackson, Ph.d., LLP, LLC | Psychologist | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2020-08-14 |
| 1841707023 | Gospel Against Aids Inc | Community Health Worker | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2018-01-09 |
| 1033654595 | Tri-state Physicians Group PC | Emergency Medicine | 3011 W Grand Blvd, Suite 306, Detroit, MI 48202-3096 | 2016-12-19 |
| 1316482870 | New Center Medical PC | Emergency Medicine | 3011 W Grand Blvd, Suite 308, Detroit, MI 48202-3096 | 2016-12-19 |
| 1861934168 | Natlab Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 309, Detroit, MI 48202-3096 | 2016-11-17 |
| 1427501733 | Detroit Public Schools Community District | Local Education Agency (LEA) | 3011 W Grand Blvd, 11th Floor Fisher Building, Detroit, MI 48202-3096 | 2016-08-03 |
| 1518326610 | Gabriel Williams Dds PC | Dentist | 3011 W Grand Blvd, Suite 867, Detroit, MI 48202-3096 | 2016-02-17 |
| 1649645284 | Tcw Surgical Center LLC | Clinic/Center | 3011 W Grand Blvd, Suite 305, Detroit, MI 48202-3096 | 2015-12-08 |
| 1720469893 | Suprene Home Care Givers Agency LLC | Home Health | 3011 W Grand Blvd, 858, Detroit, MI 48202-3096 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 | ||||
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| 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.