MARIE D LIBBEY


Address: 21751 W 11 Mile Rd, Suite #105, Southfield, MI 48076-3712
Phone: 2483277175

MARIE D LIBBEY (NPI# 1104255058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104255058
Entity Type Individual
Full Name MARIE D LIBBEY
Other Name MARIE DOROTHEA MCGRATH LIBBEY
Practice Address 21751 W 11 Mile Rd
Suite #105
Southfield
MI 48076-3712
Mailing Address 267 Spencer St
Ferndale
MI 48220-2574
Practice Telephone 2483277175
Mailing Telephone 2483467316
Enumeration Date 2013-11-01
Last Update Date 2014-05-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704251238 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 21751 W 11 MILE RD
SUITE #105
City SOUTHFIELD
State MI
Zip Code 48076-3712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083672166 Jenifer Yorke Segal Physical Therapist 21751 W 11 Mile Rd, Suite 110, Southfield, MI 48076-3712 2006-05-01
1023578499 Shalynne Lynnatt Barr Nutritionist 21751 W 11 Mile Rd, Suite 208, Southfield, MI 48076-3780 2019-03-22
1972023356 Hindy Levine Counselor 21751 W 11 Mile Rd, Southfield, MI 48076-3712 2017-06-26
1528261781 Omid Entezami Physical Therapist 21751 W 11 Mile Rd, Suite 109, Southfield, MI 48076-3712 2007-06-06
1215033311 Advanced Spine and Headache Center Family Medicine 21751 W 11 Mile Rd, Suite 110, Southfield, MI 48076-3712 2006-09-15
1073526174 Alex Meltser Chiropractor 21751 W 11 Mile Rd, Suite 110, Southfield, MI 48076-3712 2006-08-13
1861445439 Portable Diagnostic Ultrasound Imaging, Inc. Spec/Tech, Cardiovascular 21751 W 11 Mile Rd, Suite 110, Southfield, MI 48076-3712 2006-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942813753 Elaine Sarah Kahn Social Worker 15999 West Twelve Mile Rd, Southfield, MI 48076 2020-08-31
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1699317669 Meadow Lane Rehabilitative Therapies LLC Social Worker 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 2019-10-11
1760035752 Taliah Laneice Williams-hunter Counselor 30119 Sparkleberry Dr., Southfield, MI 48076 2019-07-19
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1902346836 Linsk Psychiatry Services P C Clinic/Center 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 2017-02-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689211823 Wanda Edwards Nurse Practitioner 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 2019-12-06
1457905614 Natalie Poole Nurse Practitioner 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 2019-07-26
1518435486 Benjamin Delaney Nurse Practitioner 29500 Southfield Rd Ste 100, Southfield, MI 48076-2036 2018-11-08
1598003915 Duren Ray Gutierrez Nurse Practitioner 22170 W 9 Mile Rd, Southfield, MI 48033-6007 2013-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1588282784 Mary Tackbary Nurse Practitioner 3932 W Briar Hill Dr, Maple City, MI 49664-9521 2020-07-14
1962032227 Westlake Consultation Center Nurse Practitioner 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 2020-01-24
1508416355 Stephanie Lauren Marl Nurse Practitioner 29800 Adams Dr, Gibraltar, MI 48173 2019-09-13
1629535117 Valerie Baunoch Nurse Practitioner 2057 E West Maple Rd, Commerce Twp, MI 48390 2019-02-21
1790293488 Infinity Hope Center LLC Nurse Practitioner 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 2018-01-16
1033659644 Anne Zamler Nurse Practitioner 14230 W Mcnichols Rd, Detroit, MI 48235-3912 2017-03-01
1396289120 Next Level Up Health & Wellness Inc. Nurse Practitioner 28423 Parkwood St, Inkster, MI 48141-1669 2016-12-13
1801343942 Gwendolyn K La Croix Nurse Practitioner 7521 N Telegraph Rd Ste 1, Newport, MI 48166-9398 2016-09-07
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Competitor

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City SOUTHFIELD
Zip Code 48076

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Dataset Information

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.

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