SALLIE JANE COFFER (NPI# 1649550203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649550203 |
| Entity Type | Individual |
| Full Name | SALLIE JANE COFFER |
| Practice Address |
1959 E Jefferson Ave Detroit MI 48207-4125 |
| Practice Telephone | 3133961800 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6301013980 | MI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6301013980 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301013980 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1959 E JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326235078 | Apex Behavioral Health Pllc | Social Worker | 1959 E Jefferson Ave, Suite 400, Detroit, MI 48207-4125 | 2007-09-26 |
| 1174803720 | Beverly Armstrong | Counselor | 1959 E Jefferson Ave, Detroit, MI 48207-4125 | 2011-08-26 |
| 1447410055 | Daisy Belle Ellington Dupas | Counselor | 1959 E Jefferson Ave, Suite 400, Detroit, MI 48207-4125 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114163 | Katrina Lynn Griffin | Psychologist | 15017 Liberal St, Detroit, MI 48205-1967 | 2018-12-05 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1710316534 | How-adolescent Substance Abuse Program, LLC | Psychologist | 8131 E Outer Dr, Detroit, MI 48213-1323 | 2013-11-02 |
| 1609213354 | Patrick Jumbo Eyo | Psychologist | 7810 Southfield Fwy, Detroit, MI 48228-3580 | 2013-06-03 |
| 1255595948 | Crystal A. Jackson | Psychologist | 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 | 2008-07-11 |
| 1235301656 | Regina Brown | Psychologist | 14540 Faust Ave, Detroit, MI 48223-2321 | 2008-03-26 |
| 1679055982 | Erica Jaske | Psychologist | 40 E Ferry St, Detroit, MI 48202-3802 | 2018-09-04 |
| 1376966572 | Elise Ashley Goulbourne | Psychologist | 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 | 2014-01-24 |
| 1710308598 | Alissa Dugan | Psychologist | 1700 Waterman St, Detroit, MI 48209-2022 | 2013-12-23 |
| 1548606320 | Sherry Ellen Mcrill | Psychologist | 2900 Conner St, Bldg A, Detroit, MI 48215-2407 | 2013-05-20 |
| 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.