INNER DOOR CENTER, LLC (NPI# 1609323088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609323088 |
| Entity Type | Organization |
| Organization Name | INNER DOOR CENTER, LLC |
| Practice Address |
317 E 11 Mile Rd Royal Oak MI 48067-2735 |
| Practice Telephone | 2483362868 |
| Practice Fax Number | 2483362879 |
| Mailing Telephone | 2483362868 |
| Mailing Fax Number | 2483362879 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | CHRISTINA B HAWKINS (CHIEF STRATEGY OFFICER) |
| Authorized Official Telephone | 8049288863 |
| Is Organization Subpart | Y |
| Parent Organization Name | INNER DOOR HOLDINGS, LLC (DE) |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
317 E 11 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006895 | Jacqueline Adeline Meyers | Counselor | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2006-01-04 |
| 1649634312 | Elizabeth Cotter | Dietitian, Registered | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2016-04-08 |
| 1689049546 | Alexandra Crosson | Social Worker | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2015-12-03 |
| 1659768984 | Laura Joanne Gross | Social Worker | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2015-04-24 |
| 1578997078 | Sydney A Walsh | Psychologist | 317 E 11 Mile Rd, Inner Door Center, Royal Oak, MI 48067-2735 | 2013-09-03 |
| 1447692132 | Natalia Granda | Counselor | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2013-07-23 |
| 1427497544 | Abigail Kercorian | Social Worker | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2013-06-21 |
| 1952746489 | Leigh Halterman | Dietitian, Registered | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2013-05-10 |
| 1558704205 | Allison Sydney-kepes Jacobs | Social Worker | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2013-04-12 |
| 1821334194 | Laura Meagher | Dietitian, Registered | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2012-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174031470 | Daylily Health LLC | Clinic/Center | 26080 Woodward Ave, Royal Oak, MI 48067-0914 | 2018-01-21 |
| 1841891363 | Ashley Casalou Ma Lpc LLC | Clinic/Center | 306 S Washington Ave Ste 226, Royal Oak, MI 48067-3833 | 2020-11-02 |
| 1609422369 | Professional Services of Sherry Mullins LLC | Clinic/Center | 104 W 4th St Ste 306, Royal Oak, MI 48067-3819 | 2019-08-16 |
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|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
| 1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
| 1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
| 1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
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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.