CONFLICT RESOLUTION INSTITUTE LLC (NPI# 1174002018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174002018 |
Entity Type | Organization |
Organization Name | CONFLICT RESOLUTION INSTITUTE LLC |
Other Organization Name | CONFLICT RESOLUTION INSTITUTE |
Practice Address |
2026 Austin Dr Novi MI 48377-1906 |
Practice Telephone | 2483853498 |
Practice Fax Number | 8102130555 |
Mailing Telephone | 2483853498 |
Mailing Fax Number | 8102130555 |
Enumeration Date | 2018-08-10 |
Last Update Date | 2018-08-10 |
Authorized Official Name | TERENCE BROUSSARD-BNU (COUNSELOR) |
Authorized Official Telephone | 2483853498 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6401016209 | MI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Conflict Resolution Institute | Doing Business As Name - Organization |
Street Address |
2026 AUSTIN DR |
City | NOVI |
State | MI |
Zip Code | 48377-1906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100655 | Terence Broussard-bnu | Counselor | 2026 Austin Dr, Novi, MI 48377-1906 | 2018-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
Find all providers in zip 48377 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.