MS. KIMBERLY R DEAN


Address: 2051 W Grand Blvd, Detroit, MI 48208-1105
Phone: 3139613700

MS. KIMBERLY R DEAN (NPI# 1710073499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710073499
Entity Type Individual
Full Name MS. KIMBERLY R DEAN
Credential LLPC
Practice Address 2051 W Grand Blvd
Detroit
MI 48208-1105
Practice Telephone 3139613700
Practice Fax Number 3139613769
Mailing Telephone 3139613700
Mailing Fax Number 3139613769
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401006063 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LICENSE NUMBER 6401006063 01

Other Providers KIMBERLY DEAN

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1861909434 Kimberly Marie Dean Marriage & Family Therapist 3414d Fremont Ave N, Seattle, WA 98103-8812 2018-01-04
1790316503 Kimberly Leigh Dean Licensed Vocational Nurse 1664 Broadway, El Cajon, CA 92021-5201 2020-01-30
1720500606 Kimberly Do Dean Dentist 101 E 1st St, Sylacauga, AL 35150-2543 2017-07-12
1881980837 Kimberly Beatrice Dean Pediatrics 700 Childrens Dr, Columbus, OH 43205-2664 2011-06-28
1700109543 Kimberly Kay Dean Physical Therapy Assistant 777 Park Ave W, Highland Park, IL 60035-2433 2010-03-08
1427230606 Kimberly Michelle Dean Marriage & Family Therapist 16301 Sonoma Park Dr, Edmond, OK 73013-2091 2007-11-29
1568539724 Kimberly Dean Social Worker 1555 Elm St, Manchester, NH 03101-1203 2006-11-30
1194765214 Kimberly A Dean Family Medicine 13787 Belcher Rd S, Suite 100, Largo, FL 33771-4065 2006-06-07

Office Location

Street Address 2051 W GRAND BLVD
City DETROIT
State MI
Zip Code 48208-1105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871552463 Lorraine Wagner Steele Counselor 2051 W Grand Blvd, Detroit, MI 48208-1105 2006-03-22
1407363294 Louis Barry Social Worker 2051 W Grand Blvd, Detroit, MI 48208-1105 2018-01-03
1376059808 Kevin Richmond Counselor 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-12-20
1780100347 Stephen Fano Social Worker 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-08-16
1659892800 Shalondia Aletia Ivey Social Worker 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-06-28
1598286742 Ted Edward Chaperon Social Worker 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-06-28
1043731292 Carolyn Lee Chambers Social Worker 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-06-28
1497287924 Tanya Bazile Social Worker 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-04-03
1588195325 Raymond Badejo Registered Nurse 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-03-23
1861930018 Deborah Scott Counselor 2051 W Grand Blvd, Detroit, MI 48208-1105 2017-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1932645405 Diane Louise Dodson Counselor 5500 Trumbull Apt 315, Detroit, MI 48208 2017-01-09
1164881306 Cory Eugene Martin Counselor 1852 W. Grand Blvd., Detroit, MI 48208 2016-02-16
1578947784 Hamza Belhaj Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 2015-07-17
1942629167 Diana Pool Counselor 3737 Lawton, Detroit, MI 48208 2014-04-15
1124467048 Aisha Williams Social Worker 4707 Vinewood St., Detroit, MI 48208 2013-06-25
1295079895 Mia Love Nurse Practitioner 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 2012-11-20
1992064356 Valarie Egeria Foulks Counselor 2051 W. Grand Blvd, Detroit, MI 48208 2012-05-04
1023304078 Ayana Njeri Davis Massage Therapist 2550 W. Grand Blvd, Detroit, MI 48208 2011-06-28
1184922627 Shar Inc. Community Based Residential Treatment Facility, Mental Illness 1852 W.grand Blvd, Detroit, MI 48208 2011-03-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1306473145 Julie Weatherhead Counselor 1624 Estates Dr, Detroit, MI 48206-2814 2020-03-23
1972134591 Tanya Bankston Counselor 4221 Moran St, Detroit, MI 48207-1705 2020-02-01
1871124768 Andrew Todd Henderson Counselor 1 Detroit Metro Airport, Detroit, MI 48242-1004 2020-01-29
1922561059 Odis Bellinger Counselor 440 Burroughs St Ste 149, Detroit, MI 48202-3429 2019-04-06
1245799469 Zipporah K Bolar Sr. Counselor 2900 Conner St Bldg A, Detroit, MI 48215-2407 2019-03-18
1215493549 Sammie Edwards Counselor 15734 Sussex St, Detroit, MI 48227 2019-02-12
1942764329 Crystal Jean Oliver Counselor 13770 Mecca St., Detroit, MI 48227-3025 2019-01-30
1922577246 Sheila Marie Cheeks Counselor 1600 Pingree St, Detroit, MI 48206-2436 2018-11-15
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Competitor

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City DETROIT
Zip Code 48208

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Dataset Information

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.

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