MR. WILLIAM EDWARD LIVINGSTON


Address: 26184 Outer Dr, Lincoln Park, MI 48146-2084
Phone: 3133897275

MR. WILLIAM EDWARD LIVINGSTON (NPI# 1770837064) 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) 1770837064
Entity Type Individual
Full Name MR. WILLIAM EDWARD LIVINGSTON
Credential MA LLP CAADC SAP
Practice Address 26184 Outer Dr
Lincoln Park
MI 48146-2084
Mailing Address 440 Riviera Dr
Saint Clair Shores
MI 48080-3015
Practice Telephone 3133897275
Mailing Telephone 2483453977
Enumeration Date 2012-11-08
Last Update Date 2012-11-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
6301010773 MI Behavioral Health & Social Service Providers

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Office Location

Street Address 26184 OUTER DR
City LINCOLN PARK
State MI
Zip Code 48146-2084

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770505075 Florine Bond Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2006-07-24
1023655073 Brittany Carlita Bell Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-12-09
1932746492 Timothy Joseph Rayba Peer Specialist 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-12-04
1639731490 Saja A Alkhafaji Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-07-02
1518527514 Jennifer Hope Steele Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-06-20
1376100420 Nicole Manthei Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-05-23
1396300349 Candace E Hunnicutt Community Health Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-05-06
1558823492 Nichole Marie Huziak Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2019-04-01
1932670957 Christian Arnold Thomas Iv Counselor 26184 Outer Dr, Lincoln Park, MI 48146-2084 2018-12-17
1033693155 Tyler Jackson Social Worker 26184 Outer Dr, Lincoln Park, MI 48146-2084 2018-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356967251 Luisa Sofia Amaya Behavior Technician 1360 Porter Ave, Lincoln Park, MI 48146 2020-06-17
1851854129 Abhi Patel Physical Therapist 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 2019-04-12
1831608827 Back On Track Physical Therapy LLC Clinic/Center 1132 Southfield Road, Lincoln Park, MI 48146 2017-09-22
1326568221 Priscilla Cano Social Worker 1600 Porter, Detroit, MI 48146 2017-06-21
1952650194 Melissa Margaret Belinc Psychologist 26300 Outer Drive, Lincoln Park, MI 48146 2012-09-04
1497011746 Richard John Daniels Physical Therapy Assistant 1538 Morris, Lincoln Park, MI 48146 2012-04-11
1740563261 Myesha Renee Thurman Social Worker 26180 W. Outer Drive, Lincoln Park, MI 48146 2011-09-21
1033491162 Heidi Bremer Social Worker 26180 West Outer Drive, Lincoln Park, MI 48146 2011-09-14
1871823526 Richard Dale Mott Counselor 1564 Arlington, Lincoln Park, LA 48146 2009-12-31
1386801777 Laura Ann Kaakati-weber Psychologist 26184 West Outer Drive, Lincoln Park, MI 48146 2008-05-22
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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1790145548 Cecil Cosey IIi Psychologist 11000 W Micnichols, Detroit, MI 48238 2016-03-07
1508202920 Abaris Health Psychologist 2501 Rochester Ct, Troy, MI 48083-1875 2013-05-13
1861748238 Pro Med Substance Abuse Program LLC Psychologist 2891 E. Maple Rd. Suite 200, Troy, MI 48083 2012-08-03
1003161282 Michael George Brock Psychologist 2514 Biddle Avenue, Wyandotte, MI 48192 2012-07-13
1972860005 Samaritas Psychologist 128 S Cochran Ave, Charlotte, MI 48813-1510 2012-04-13
1619254042 Kathryn Bartz Psychologist 500 Barfield Dr., Hastings, MI 49058-9018 2011-11-14
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Competitor

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City LINCOLN PARK
Zip Code 48146

Improve Information

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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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