KRISTA GRAVATT LMSW, LLC (NPI# 1326504804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326504804 |
| Entity Type | Organization |
| Organization Name | KRISTA GRAVATT LMSW, LLC |
| Practice Address |
455 E Eisenhower Pkwy Ste 30 Ann Arbor MI 48108-3304 |
| Practice Telephone | 7345857086 |
| Mailing Telephone | 7345857086 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | MRS. KRISTA GRAVATT (OWNER/OPERATOR) |
| Authorized Official Telephone | 7346348366 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
455 E EISENHOWER PKWY STE 30 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| 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 |
|---|---|---|---|---|
| 1174139968 | Great Lakes Teletherapy | Community/Behavioral Health | 707 W Liberty St, Ann Arbor, MI 48103-4348 | 2020-09-17 |
| 1467096297 | Reflection Counseling Services Pllc | Community/Behavioral Health | 2227 Packard St Ste 2, Ann Arbor, MI 48104-6394 | 2019-11-05 |
| 1225693674 | Andrea Broadwater Counseling and Consulting, LLC | Community/Behavioral Health | 326 W Liberty St Ste 3, Ann Arbor, MI 48103-4341 | 2019-05-01 |
| 1982169538 | Eventually LLC | Community/Behavioral Health | 455 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108-3324 | 2019-02-07 |
| 1235678806 | Heather Herrick, Lmsw, Pllc | Community/Behavioral Health | 2311 Shelby Ave Ste 101d, Ann Arbor, MI 48103-3849 | 2017-02-15 |
| 1942657689 | Amazing Grace Counseling Outreach | Community/Behavioral Health | 2035 Hogback Rd # 204, Ann Arbor, MI 48105-9732 | 2016-05-23 |
| 1639544646 | Danielle Aimone | Community/Behavioral Health | 404 Snyder Ave, Ann Arbor, MI 48103-5551 | 2015-12-02 |
| 1780082883 | Kari J Schmidt, Lpc, Ncc, Rpt-s | Community/Behavioral Health | 1785 W Stadium Blvd Ste 201b, Ann Arbor, MI 48103-5285 | 2014-12-05 |
| 1346671880 | Community Mental Health Partnership of Southeast Michigan | Community/Behavioral Health | 3005 Boardwalk St Ste 200, Ann Arbor, MI 48108-5218 | 2013-12-10 |
| 1699010405 | Carroll Care Management LLC | Community/Behavioral Health | 2005 Audubon Dr, Ann Arbor, MI 48103-6183 | 2012-12-05 |
| Find all providers in ANN ARBOR | ||||
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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.