KYMBERLY M CUNNINGHAM (NPI# 1114575610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114575610 |
| Entity Type | Individual |
| Full Name | KYMBERLY M CUNNINGHAM |
| Credential | LLMFT |
| Practice Address |
20220 Mitchell St Detroit MI 48234-1577 |
| Practice Telephone | 3133196149 |
| Mailing Telephone | 3133196149 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 4151000378 | MI | Behavioral Health & Social Service Providers |
| Street Address |
20220 MITCHELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-1577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004865 | Mind and Soul LLC | Marriage & Family Therapist | 20220 Mitchell St, Detroit, MI 48234-1577 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004865 | Mind and Soul LLC | Marriage & Family Therapist | 20220 Mitchell St, Detroit, MI 48234-1577 | 2020-05-12 |
| 1760036255 | Matthew Lamonte Allen Sr. | Marriage & Family Therapist | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2019-08-01 |
| 1558710640 | Allyn Singer Prout Witchell | Marriage & Family Therapist | 4160 Woodward Ave, Detroit, MI 48201-2027 | 2016-06-08 |
| 1013162106 | Dianne Harper | Marriage & Family Therapist | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588520 | Janice Marie Twesten | Marriage & Family Therapist | 7066 Country Springs Dr Sw, Byron Center, MI 49315-8129 | 2020-11-06 |
| 1891392288 | Megan E Six | Marriage & Family Therapist | 733 Madison Ave Se, Grand Rapids, MI 49503-5317 | 2020-10-08 |
| 1053927350 | Sally Catherine Demshur | Marriage & Family Therapist | 2534 Lupine Ct, Okemos, MI 48864-3366 | 2020-09-22 |
| 1801407481 | Regina V. Grujovski | Marriage & Family Therapist | 25156 Pine View Ave, Warren, MI 48091-1567 | 2020-08-16 |
| 1649892548 | Angie L Nelson-gates | Marriage & Family Therapist | 25 Centennial Ave Nw, Grand Rapids, MI 49504-5921 | 2020-05-13 |
| 1699307512 | James Glen Clapper | Marriage & Family Therapist | 5851 Gilman St, Garden City, MI 48135-2512 | 2020-02-08 |
| 1801427323 | Relationship Therapy LLC | Marriage & Family Therapist | 1800 N Milford Rd Ste 101, Milford, MI 48381-1047 | 2020-02-03 |
| 1508409715 | Susan Lesley King Roney | Marriage & Family Therapist | 934 Cambridge Dr Se, Grand Rapids, MI 49506-3360 | 2019-10-21 |
| 1528616224 | Edythe Annette Brown | Marriage & Family Therapist | 26861 Bloomfield Dr S, Lathrup Village, MI 48076-4403 | 2019-08-27 |
| 1639725807 | Jamie Leigh Welsh | Marriage & Family Therapist | 2350 Club Meridian Dr Apt A12, Okemos, MI 48864-4525 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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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.