MS. LEATHE DANTZLER (NPI# 1740891498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740891498 |
| Entity Type | Individual |
| Full Name | MS. LEATHE DANTZLER |
| Credential | MS |
| Practice Address |
1025 E Forest Ave Detroit MI 48207-1098 |
| Practice Telephone | 3138334291 |
| Practice Fax Number | 3138335730 |
| Mailing Telephone | 3138334291 |
| Mailing Fax Number | 3138335730 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6361003896 | MI | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 6301009899 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1025 E FOREST AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114144847 | County of Wayne | Community/Behavioral Health | 1025 E Forest Ave, Building C, Detroit, MI 48207-1024 | 2007-04-20 |
| 1790309334 | Wendy Sue Lawson | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2020-05-29 |
| 1265075253 | Ian J Moore | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-22 |
| 1124661459 | Safaa Issawi | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-18 |
| 1003321357 | Tamika L. Matlock | Counselor | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-12-08 |
| 1154830503 | Latoya Taylor | Psychologist | 1025 E Forest Ave, Bldg C Room 216, Detroit, MI 48207 | 2017-09-28 |
| 1063950715 | Ahmar Zaman | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-02-02 |
| 1043752124 | Jochebed Swilley | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-11-07 |
| 1407216468 | Ruth Smith | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-03-03 |
| 1083074538 | Shaundrea Whiting | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-02-26 |
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| 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 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285129221 | Wayne State University | Psychologist | 540 E Canfield St Ste 1241, Detroit, MI 48201 | 2018-06-22 |
| 1508362922 | Claudia Anagurthi | Psychologist | Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 | 2018-04-04 |
| 1992136295 | Marilyn Franklin | Psychologist | 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 | 2013-12-12 |
| 1144669318 | Julia Helene Bellamy | Psychologist | 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 | 2013-06-20 |
| 1255675005 | Nicole Henriksen | Psychologist | 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 | 2012-11-17 |
| 1093061517 | Kinneta Easter Mason | Psychologist | 19738 Fielding St, Detroit, MI 48219 | 2012-08-02 |
| 1376859785 | Eugene Ronald Craig | Psychologist | 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 | 2010-08-23 |
| 1902126725 | Dana Raquel Lasenby | Psychologist | 3434 Russell St, Suite #307, Detroit, MI 48207-2062 | 2010-06-03 |
| 1699004614 | Monica Anne Moore | Psychologist | 18940 Oak Dr, Detroit, MI 48221-2264 | 2009-12-22 |
| 1750610796 | Sekai Denard Broaden | Psychologist | 14952 Rosemont Ave, Detroit, MI 48223-2364 | 2009-12-22 |
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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.