MR. DANIEL GARDNER-MORIN (NPI# 1114394822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114394822 |
| Entity Type | Individual |
| Full Name | MR. DANIEL GARDNER-MORIN |
| Credential | LPN |
| Practice Address |
6309 Mack Ave Detroit MI 48207 |
| Practice Telephone | 3139214700 |
| Practice Fax Number | 3139219247 |
| Mailing Telephone | 3139214700 |
| Mailing Fax Number | 3139219247 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4703113193 | MI | Agencies |
| Street Address |
6309 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558582791 | Marilyn Drain | Counselor | 6309 Mack Ave, Detroit, MI 48207-2302 | 2007-05-02 |
| 1568078715 | Sabrina Long | Registered Nurse | 6309 Mack Ave, Detroit, MI 48207-2302 | 2020-09-22 |
| 1023626041 | Marisa Deutsch | Social Worker | 6309 Mack Ave, Detroit, MI 48207-2302 | 2020-07-15 |
| 1467076372 | Caprice Ellene Quinn | Counselor | 6309 Mack Ave, Detroit, MI 48207-2302 | 2020-06-05 |
| 1083233845 | Doncella Patrice Floyd-jones | Case Manager/Care Coordinator | 6309 Mack Ave, Detroit, MI 48207-2302 | 2020-04-13 |
| 1649809922 | Laura A Davis | Registered Nurse | 6309 Mack Ave, Detroit, MI 48207-2302 | 2020-04-07 |
| 1548809882 | Deborah Lola Lloyd | Registered Nurse | 6309 Mack Ave, Detroit, MI 48207-2302 | 2020-01-03 |
| 1710526629 | Johanna Joyce Deleon | Registered Nurse | 6309 Mack Ave, Detroit, MI 48207-2302 | 2019-12-26 |
| 1437708070 | Demarco Holley | Social Worker | 6309 Mack Ave, Detroit, MI 48207-2302 | 2019-09-06 |
| 1235782061 | James Lorden Jones I | Social Worker | 6309 Mack Ave, Detroit, MI 48207-2302 | 2019-07-21 |
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| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1356988562 | Charlotte Yvonne Overall | Community/Behavioral Health | 13334 Longview St, Detroit, MI 48213-1919 | 2019-12-06 |
| 1477110054 | Reymac Home Healthcare LLC | Community/Behavioral Health | 13030 W 7 Mile Rd, Detroit, MI 48235-1335 | 2019-05-20 |
| 1033773528 | Great Futures Family Services Inc | Community/Behavioral Health | 11475 E Outer Dr, Detroit, MI 48224-3226 | 2019-04-30 |
| 1275197527 | Volunteers of America Michigan | Community/Behavioral Health | 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 | 2019-04-23 |
| 1891271458 | Bwl Care, LLC | Community/Behavioral Health | 16861 Wyoming St, Detroit, MI 48221-2850 | 2018-07-17 |
| 1780189365 | Fayna T Counseling Services Pllc | Community/Behavioral Health | 5575 Conner St Ste 208, Detroit, MI 48213-6401 | 2018-03-27 |
| 1912400508 | Your Voice and Choice, Pllc | Community/Behavioral Health | 12241 Vaughan St, Detroit, MI 48228-1008 | 2018-03-09 |
| 1508365560 | Zion's Hope Social Services LLC | Community/Behavioral Health | 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 | 2018-02-06 |
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
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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.