PHOENIX INTERVENTIONS PLLC (NPI# 1497210744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497210744 |
| Entity Type | Organization |
| Organization Name | PHOENIX INTERVENTIONS PLLC |
| Practice Address |
7633 E Jefferson Ave Ste 110 Detroit MI 48214-3730 |
| Mailing Address |
14046 Bringard Dr Detroit MI 48205-1240 |
| Practice Telephone | 3137783157 |
| Mailing Telephone | 3137783157 |
| Mailing Fax Number | 8778821974 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | ZOLITA BROWN (OWNER/THERAPIST) |
| Authorized Official Telephone | 3137783157 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
7633 E JEFFERSON AVE STE 110 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143046 | Comforting Adult Services LLC | Counselor | 14559 Monica St, Detroit, MI 48238-1953 | 2020-01-18 |
| 1235779406 | Jacqueline Yvetter Smith Davis | Counselor | 16609 Archdale St, Detroit, MI 48235-3416 | 2020-01-15 |
| 1033767843 | Shawn Alecia Mccoy | Counselor | 3600 3rd St Apt 1004, Detroit, MI 48201-2337 | 2019-08-27 |
| 1013472745 | Shyfirska Emery | Counselor | 13700 Linnhurst St, Detroit, MI 48205-2885 | 2019-02-06 |
| 1871060368 | Taia Sardinas | Counselor | 7251 E Congress St Apt 307, Detroit, MI 48214-2395 | 2018-11-01 |
| 1639668387 | Debora Lynn Howard | Counselor | 17200 Rowe St, Detroit, MI 48205-3120 | 2018-05-08 |
| 1932698669 | Alexis J Terry | Counselor | 5555 Conner St Ste 2210, Detroit, MI 48213-3496 | 2018-05-08 |
| 1245739614 | Chavela Bryant | Counselor | 18659 Griggs St, Detroit, MI 48221-1907 | 2018-02-12 |
| 1962901835 | Kendra Sibert | Counselor | 5112 Beaubien St, Detroit, MI 48202-4107 | 2018-02-06 |
| 1649787714 | Katrina Frazier | Counselor | 19968 Hubbell St, Detroit, MI 48235-1603 | 2018-01-10 |
| 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.