ELAINA NICOLE GARDNER (NPI# 1356898829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356898829 |
| Entity Type | Individual |
| Full Name | ELAINA NICOLE GARDNER |
| Practice Address |
30640 Longcrest St Southfield MI 48076-1562 |
| Mailing Address |
30640 Longcrest St. Southfield MI 48076-1562 |
| Practice Telephone | 2487984807 |
| Mailing Telephone | 2487984807 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
G635201630597 | MI | Behavioral Health & Social Service Providers |
| Street Address |
30640 LONGCREST ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-1562 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459635 | Jaron Varner | Counselor | 18977 W 10 Mile Rd Ste 100a, Southfield, MI 48075-2627 | 2020-02-12 |
| 1750922332 | Flexx Counseling, Pllc | Counselor | 16250 Northland Dr Ste 103, Southfield, MI 48075-5226 | 2019-10-04 |
| 1902458300 | True Thoughts LLC | Counselor | 22511 Telegraph Rd Ste 129, Southfield, MI 48033-4115 | 2019-07-15 |
| 1912469115 | Moss Therapy and Wellness, Pllc | Counselor | 17350 W 10 Mile Rd, Southfield, MI 48075-2929 | 2019-04-05 |
| 1023580271 | Jamika Diane Harris | Counselor | 29260 Franklin Rd Ste 123, Southfield, MI 48034-1144 | 2018-12-28 |
| 1275020075 | Faith Shenay Williams | Counselor | 24363 Evergreen Rd, Southfield, MI 48075-5524 | 2018-04-17 |
| 1912411182 | Robert Stewart II | Counselor | 19319 Birchridge St, Southfield, MI 48075-5837 | 2017-11-27 |
| 1417487828 | Pleasant Care Adult Day Care LLC | Counselor | 30308 Southfield Rd Apt 60a, Southfield, MI 48076-1338 | 2017-06-18 |
| 1932645025 | Higher Heights Counseling Services, LLC | Counselor | 26677 W 12 Mile Rd Ste 111, Ste 111, Southfield, MI 48034-1514 | 2017-01-12 |
| 1255785416 | Donna Denise Davis | Counselor | 16250 Northland Dr Ste 238, Southfield, MI 48075-5227 | 2016-04-14 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on ELAINA NICOLE GARDNER.
| 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.