KIM LOGAN COMMUNICATIONS CLINIC INC (NPI# 1134318066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134318066 |
| Entity Type | Organization |
| Organization Name | KIM LOGAN COMMUNICATIONS CLINIC INC |
| Practice Address |
8313 Grand River Ave Detroit MI 48204-2231 |
| Practice Telephone | 3138988200 |
| Practice Fax Number | 3138982232 |
| Mailing Telephone | 3138988200 |
| Mailing Fax Number | 3138982232 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | DR. KIM JANISSE LOGAN (CEO) |
| Authorized Official Telephone | 3138988200 |
| Authorized Official Credential | PH.D,SPL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
L1118869 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073810644 | Kim Logan Communications Clinic Inc | Psychologist | 3011 W Grand Blvd, Suite 423, Detroit, MI 48202-3096 | 2011-02-17 |
| Street Address |
8313 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48204-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
| 1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
| 1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
| 1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
| 1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
| 1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
| 1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
| Find all providers in zip 48204 | ||||
| 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.