LAVITA MODEST (NPI# 1689059925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689059925 |
| Entity Type | Individual |
| Full Name | LAVITA MODEST |
| Credential | MA, LLPC |
| Practice Address |
11443 E 13 Mile Rd Ste 401 Warren MI 48093-6523 |
| Practice Telephone | 3139261683 |
| Mailing Telephone | 3139261683 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
L823027 | MI | Behavioral Health & Social Service Providers |
| Street Address |
11443 E 13 MILE RD STE 401 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356726608 | Elizabeth Hansen | Counselor | 11443 E 13 Mile Rd Ste 401, Warren, MI 48093-6523 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1528688397 | Jordan Triner | Counselor | 31201 Chicago Rd S Ste A201, Warren, MI 48093-5552 | 2020-04-22 |
| 1134767098 | Ramona Skriiko LLC | Counselor | 1891 Niles Cortland Rd Ne, Warren, OH 44484-1058 | 2019-12-11 |
| 1124688783 | Jada Deloof | Counselor | 589 Hospital Dr Ste E, Warren, PA 16365-4875 | 2019-06-17 |
| 1073086757 | Natalie Eden | Counselor | 315 2nd Ave Ste 207, Warren, PA 16365-2439 | 2019-01-06 |
| 1942727706 | Matthew Menard | Counselor | 212 Jackson Ave, Warren, PA 16365-2640 | 2017-08-23 |
| 1811417587 | Restored Hope Counseling Services LLC | Counselor | 108 Main Ave Sw Ste 903, Warren, OH 44481-1010 | 2017-06-23 |
| 1518406263 | Building Bridges Behavioral Health Services | Counselor | 412 Market St., Warren, PA 16365-2305 | 2017-02-14 |
| 1972955631 | Bouharb Counseling LLC | Counselor | 2630 Dundee Dr, Warren, MI 48092-1038 | 2016-07-06 |
| 1528446531 | Shavon Romita | Counselor | 30101 Hoover Rd Ste 100, Warren, MI 48093-6572 | 2015-05-11 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on LAVITA MODEST.
| 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.