MDS DEVINE COUNSELING SERVICES (NPI# 1154861367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154861367 |
| Entity Type | Organization |
| Organization Name | MDS DEVINE COUNSELING SERVICES |
| Practice Address |
17336 W 12 Mile Rd 103 Southfield MI 48076-2113 |
| Mailing Address |
9560 Lenore Redford MI 48239-1664 |
| Practice Telephone | 2487961217 |
| Mailing Telephone | 2487961217 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | MARILYN DENISE SANDERS (CLINICAL SOCIAL WORKER/ PROPRIETOR) |
| Authorized Official Telephone | 2487961217 |
| Authorized Official Credential | LCSW, LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6801059552 | MI | Agencies |
| Street Address |
17336 W 12 MILE RD 103 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457575581 | Horsepower Psychological Services, Plc | Psychologist | 17336 W 12 Mile Rd, Suite 105, Southfield, MI 48076-2113 | 2007-04-12 |
| 1689972366 | Yuma Inc. | Social Worker | 17336 W 12 Mile Rd, Suite 106, Southfield, MI 48076-2113 | 2011-03-04 |
| 1932338993 | Big Heart Corporation | Home Health | 17336 W 12 Mile Rd, Suite 104, Southfield, MI 48076-2113 | 2009-07-10 |
| 1780820886 | Kenneth Christopher Lazzara | Psychologist | 17336 W 12 Mile Rd, Suite 105, Southfield, MI 48076-2113 | 2008-12-20 |
| 1164676383 | True Anointing Minstries | Voluntary or Charitable | 17336 W 12 Mile Rd, Ste 103, Southfield, MI 48076-2113 | 2008-11-14 |
| 1265685465 | Sleep Well LLC | Case Management | 17336 W 12 Mile Rd, Suite 102, Southfield, MI 48076-2113 | 2008-10-31 |
| 1922251545 | Gracious Outreach Ministries | Voluntary or Charitable | 17336 W 12 Mile Rd, Southfield, MI 48076-2113 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 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 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| 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 |
|---|---|---|---|---|
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1235774514 | Siebert Psychotherapy Services | Community/Behavioral Health | 29501 Greenfield Rd Ste 132, Southfield, MI 48076-2250 | 2019-11-11 |
| 1225682933 | Hydro Play LLC | Community/Behavioral Health | 21776 Colony Park Cir Apt 203, Southfield, MI 48076-1658 | 2019-07-31 |
| 1376017137 | Stacy K Doctoroff Lpc, LLC | Community/Behavioral Health | 29260 Franklin Rd Ste 111, Southfield, MI 48034-1196 | 2019-01-15 |
| 1295208361 | Sensible Counseling Pllc | Community/Behavioral Health | 15700 W 10 Mile Rd Ste 101a, Southfield, MI 48075-2100 | 2019-01-10 |
| 1477039055 | Faith Soars Counseling | Community/Behavioral Health | 24681 Northwestern Hwy Ste 303, Southfield, MI 48075-2322 | 2018-07-17 |
| 1033608054 | Healing Waters Grief Therapy Pllc | Community/Behavioral Health | 18444 W 10 Mile Rd Ste 204, Southfield, MI 48075-2626 | 2018-05-04 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| 1760925267 | 1 Percent LLC | Community/Behavioral Health | 27090 Devonshire St, Southfield, MI 48076-3139 | 2016-12-01 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.