WILLIE MCCULLOUGH


Address: 23751 Coyle St, Oak Park, MI 48237-1929
Phone: 2485065891

WILLIE MCCULLOUGH (NPI# 1104292127) 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) 1104292127
Entity Type Individual
Full Name WILLIE MCCULLOUGH
Practice Address 23751 Coyle St
Oak Park
MI 48237-1929
Mailing Address 22590 Pembroke Ave
Detroit
MI 48219-1158
Practice Telephone 2485065891
Mailing Telephone 3135747976
Enumeration Date 2015-08-13
Last Update Date 2015-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
261QA0600X MI Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
6401013637 MI Behavioral Health & Social Service Providers

Other Providers WILLIE MCCULLOUGH

NPI Name Taxonomy Address Enumeration
1093153181 Willie James Mccullough Behavioral Analyst 1901 N Classen Blvd, Ste 110, Oklahoma City, OK 73106-6015 2013-06-11

Office Location

Street Address 23751 COYLE ST
City OAK PARK
State MI
Zip Code 48237-1929

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699395459 Kroger Co of Michigan Durable Medical Equipment & Medical Supplies 25940 Greenfield Rd, Oak Park, MI 48237 2020-04-22
1497397202 Kimberly Wallace Md PC Clinic/Center 12900 W 9 Mile Road, Oak Park, MI 48237 2019-10-14
1174009211 Jo-anne Spencer Woodard Social Worker 23300 Greenfield, Suite 122, Oak Park, MI 48237 2018-07-12
1285163600 Yolanda Alicia Winters-byrdo Social Worker 18712 Quarry Rd., Riverview, MI 48237 2017-06-08
1972059699 Cynthia F Lewis Technician, Other 15251 Kenwood St., Oak Park, MI 48237 2016-09-01
1083039531 Tema Pefok Home Health Aide 21930 Harding St, Oak Park, MI 48237 2014-02-20
1073937116 A1 Home Help Services Home Health 21700 Green Field Road, 253, Oak Park, MI 48237 2014-02-10
1629346648 Mitun Chablani Physical Therapist 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 2011-12-05
1841575891 Hazy Mindful Care Giving Agency Inc Hospice Care, Community Based 21700 Greenfield, Ste 264, Oakpark, MI 48237 2011-10-20
1710101688 Andrew Hardy Jr. Internal Medicine 22100 Greenfield Road, Oak Park, MI 48237 2007-04-12
Find all providers in zip 48237

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457982332 Heather Lea Corwin Counselor Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 2020-01-30
1932739356 Stacey Mandel Garfinkel Counselor 6128 Bryndale Ave, Oak Park, CA 91377-5846 2020-01-24
1609412956 Mindful Consultation Inc. Counselor 1010 Lake St Ste 502a, Oak Park, IL 60301-1135 2019-11-21
1356824692 Maxie Moses Counselor 1000 S Austin Blvd, Oak Park, IL 60304-2335 2018-09-12
1982128971 Tn Harrison Therapeutics Counselor 1331 North Harlem Ave, 2f, Oak Park, IL 60302-6030 2017-08-01
1346772795 Ashley Pinto Counselor 1101 Lake St Ste 404, Oak Park, IL 60301-1048 2017-04-03
1053778605 Tone Sirbas Counselor 855 Lake St, Apt 412, Oak Park, IL 60301-1342 2016-01-26
1316339518 Christina Shrader Counselor 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 2015-02-24
1821431628 Your Choice Counselor 105 N Marion St, Suite 1, Oak Park, IL 60301-1075 2013-04-10
1134497761 Robin T Anderson Counselor 10261 Corning St, Oak Park, MI 48237-3915 2011-12-10
Find all providers in OAK PARK

Competitor

Search similar providers

City OAK PARK
Zip Code 48237

Improve Information

Please comment or provide details below to improve the information on WILLIE MCCULLOUGH.

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.

Trending Searches