TRESNA LYNN WHITESIDE (NPI# 1205386927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205386927 |
| Entity Type | Individual |
| Full Name | TRESNA LYNN WHITESIDE |
| Practice Address |
13575 Lesure St Detroit MI 48227-3131 |
| Practice Telephone | 3134934410 |
| Practice Fax Number | 3134934415 |
| Mailing Telephone | 3134934410 |
| Mailing Fax Number | 3134934415 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MI | Behavioral Health & Social Service Providers |
| Street Address |
13575 LESURE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48227-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144246281 | Lauren Elizabeth Billiu | Counselor | 13575 Lesure St, Detroit, MI 48227-3131 | 2006-07-14 |
| 1598256687 | Kristina Bradley | Licensed Practical Nurse | 13575 Lesure St, Detroit, MI 48227-3131 | 2018-05-23 |
| 1942678107 | Star Center | Clinic/Center | 13575 Lesure St, Detroit, MI 48227-3131 | 2015-09-04 |
| 1699142778 | Carol Blair | Counselor | 13575 Lesure St, Detroit, MI 48227-3131 | 2015-08-25 |
| 1174901847 | Marcia Freeman | Licensed Practical Nurse | 13575 Lesure St, Detroit, MI 48227-3131 | 2015-05-13 |
| 1396122818 | Star Center Inc. | Clinic/Center | 13575 Lesure St, Detroit, MI 48227-3131 | 2015-05-05 |
| 1689061913 | Terri Collins | Licensed Practical Nurse | 13575 Lesure St, Detroit, MI 48227-3131 | 2015-04-24 |
| 1770970014 | Ora Taylor | Licensed Practical Nurse | 13575 Lesure St, Detroit, MI 48227-3131 | 2015-04-24 |
| 1063818227 | Reginald Leroy Jones | Counselor | 13575 Lesure St, Detroit, MI 48227-3131 | 2014-11-14 |
| 1720356314 | Star Center | Rehabilitation Hospital | 13575 Lesure St, Detroit, MI 48227-3131 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1124505698 | Unique Home of Love | Home Health | 15380 Snowden St, Detroit, MI 48227 | 2018-07-26 |
| 1386150977 | Saterra Squalls | Licensed Practical Nurse | 202048 Wyoming St., Detroit, MI 48227 | 2017-12-19 |
| 1952822967 | Extremely Blessed LLC | Non-emergency Medical Transport (VAN) | 11341 Longacre, Detroit, MI 48227 | 2017-06-29 |
| 1669920070 | Gina Clark-alexander | Technician, Other | 14271 Coyle St, Detroit, MI 48227 | 2016-09-14 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1376927442 | Rena Adell Jackson | Homeopath | 14881greenfield Rd, Detroit, MI 48227 | 2015-07-17 |
| 1104226786 | Loving Heart Home Care | In Home Supportive Care | 12875 Archdale, Detroit, MI 48227 | 2014-09-02 |
| 1205265709 | Edward Cornelius Simmons | Massage Therapist | 15756 Forrer Street, Detroit, MI 48227 | 2013-11-05 |
| 1851641286 | Green Meadows Outreach Ministries | Case Management | 15901 Rutherford Street, Detroit, MI 48227 | 2012-09-13 |
| Find all providers in zip 48227 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
| 1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
| 1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
| 1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
| 1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
| 1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on TRESNA LYNN WHITESIDE.
| 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.