MS. GWENDOLYN CRAWFORD (NPI# 1376927731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376927731 |
Entity Type | Individual |
Full Name | MS. GWENDOLYN CRAWFORD |
Credential | CAADC-DP |
Practice Address |
13340 E Warren Ave Detroit MI 48215-2112 |
Practice Telephone | 3138226940 |
Mailing Telephone | 3138226940 |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609058148 | Gwendolyn M Crawford | Speech-Language Pathologist | 11817 Parkmount Blvd, Baton Rouge, LA 70816-4630 | 2007-11-27 |
1720142193 | Gwendolyn Frances Crawford | Physical Therapist | 11630 Commonwealth Dr, Louisville, KY 40299-2300 | 2006-12-20 |
Street Address |
13340 E WARREN AVE |
City | DETROIT |
State | MI |
Zip Code | 48215-2112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255410023 | Positive Images | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2006-11-03 |
1699259051 | Karen Elaine Osorio | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2018-09-21 |
1669988283 | Carla Sue Hurst-johnson | Peer Specialist | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2017-12-19 |
1548790199 | Anjanette Melissa Williams-kennedy | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2017-06-15 |
1497113609 | Tiyanna Macnear | Case Manager/Care Coordinator | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2016-02-02 |
1891178125 | Cherill Lynn Adams | Substance Abuse Rehabilitation Facility | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2015-07-06 |
1396981247 | Adam James | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
1740426691 | Beth Sacks | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
1578709424 | Asha Ravindran | Social Worker | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-12-24 |
1831342443 | Doris Jean Moss | Counselor | 13340 E Warren Ave, Detroit, MI 48215-2112 | 2008-10-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
Find all providers in zip 48215 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457718165 | Shar Inc. | Substance Abuse Rehabilitation Facility | 9961 Patton St, Detroit, MI 48228-1217 | 2016-01-26 |
1073988333 | Sobriety House | Substance Abuse Rehabilitation Facility | 2150 E Vernor Hwy, Apt 413, Detroit, MI 48207-2744 | 2015-12-11 |
1003180902 | Cherry Streat Health Services | Substance Abuse Rehabilitation Facility | 11105 E Jefferson Ave, Detroit, MI 48214-3317 | 2012-02-24 |
1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
1861778680 | Pure Recovery Inc. | Substance Abuse Rehabilitation Facility | 19406 Norwood St, Detroit, MI 48234-1870 | 2011-10-25 |
1396047239 | Renaissance Recovery | Substance Abuse Rehabilitation Facility | 5250 John R St, Detroit, MI 48202-4030 | 2010-11-29 |
1912227075 | Juda Transitional & Recovery House | Substance Abuse Rehabilitation Facility | 5579 Vancouver St, Detroit, MI 48204-3607 | 2010-06-10 |
1386974913 | Stategies of Life Outreach Centers | Substance Abuse Rehabilitation Facility | 17850 Mcdougall St, Detroit, MI 48212-1040 | 2010-01-04 |
1922335181 | Robert IIi Baptiste Thompson | Substance Abuse Rehabilitation Facility | 2616 Puritan St, Detroit, MI 48238-1420 | 2009-11-09 |
1013143676 | Marian's Center for Woman's Growth | Substance Abuse Rehabilitation Facility | 5247 Sheridan St, Detroit, MI 48213-2868 | 2009-06-09 |
Find all providers in DETROIT |
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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.