CARLIS WORTHY (NPI# 1710159108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710159108 |
| Entity Type | Individual |
| Full Name | CARLIS WORTHY |
| Other Name | MRS. CARLIS HARRIS LOGAN |
| Practice Address |
6272 W Court St Flint MI 48532-5333 |
| Practice Telephone | 8102871009 |
| Mailing Telephone | 8102871009 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6272 W COURT ST |
| City | FLINT |
| State | MI |
| Zip Code | 48532-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639403652 | Steven Logan | Counselor | 6272 W Court St, Flint, MI 48532-5333 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1174073480 | Rooted In Love Counseling Services | Counselor | 3397 Windland Dr, Flint, MI 48504-1764 | 2016-10-11 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1801255054 | Jenna Pillow | Counselor | 931 Martin Luther King Ave, Flint, MI 48503-1488 | 2016-02-16 |
| 1710344841 | Virlyn Allen-poe | Counselor | 4105 Keyes St, Flint, MI 48504-2294 | 2016-01-20 |
| 1932573706 | Larry Lenoir | Counselor | G3500 Flushing Rd Ste 250, Suite 250, Flint, MI 48504-4238 | 2015-11-17 |
| 1124499835 | Harold Hill | Counselor | 323 Allendale Pl, Flint, MI 48503-2335 | 2015-10-08 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1821468489 | Shaun Weck | Counselor | 529 Martin Luther King Blvd # Jr, Flint, MI 48502-2002 | 2015-09-25 |
| 1427440874 | Rasheeda Mitchell | Counselor | 2387 S Linden Rd Ste 138, Flint, MI 48532-5488 | 2015-02-23 |
| Find all providers in FLINT | ||||
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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.