MANDI MARIE CIACELLI-BROWN (NPI# 1801451463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801451463 |
| Entity Type | Individual |
| Full Name | MANDI MARIE CIACELLI-BROWN |
| Credential | LPN |
| Practice Address |
3250 N Monroe St Monroe MI 48162-9297 |
| Mailing Address |
467 Godfroy Ave Monroe MI 48162-2766 |
| Practice Telephone | 7343843402 |
| Mailing Telephone | 7343442504 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
4703095538 | MI | Ambulatory Health Care Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 4703095538 | MI | Residential Treatment Facilities |
| N | 364SR0400X |
Clinical Nurse Specialist Specialization: Rehabilitation |
4703095538 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3250 N MONROE ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-9297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416706 | Benjamin Keil Langman | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2007-05-15 |
| 1396218921 | James Michael Dehring IIi | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2019-01-07 |
| 1336623461 | Geoffrey Lawrence Mcintyre | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2018-09-25 |
| 1235639071 | Michelle Marie Lamontaine | Licensed Practical Nurse | 3250 N Monroe St, Monroe, MI 48162-9297 | 2018-02-19 |
| 1508371436 | Joanne Rose Gardner-draper | Licensed Practical Nurse | 3250 N Monroe St, Monroe, MI 48162-9297 | 2017-12-14 |
| 1225567134 | Dorian Pello | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2017-06-06 |
| 1740721547 | Alisha Kovenich | Licensed Practical Nurse | 3250 N Monroe St, Monroe, MI 48162 | 2017-03-13 |
| 1992171029 | Danielle Ardis Pagan | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2015-08-12 |
| 1881074847 | Carla Marie Mcghee | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2015-06-04 |
| 1538564240 | Jason Dale Berry | Counselor | 3250 N Monroe St, Monroe, MI 48162-9297 | 2014-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
| 1740654920 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 398 Highway 11 Sw, Monroe, GA 30655-6071 | 2015-11-25 |
| 1366820706 | Pecan Haven Addiction Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2321 Hwy 80 East, Monroe, LA 71203 | 2015-05-18 |
| 1598037079 | Rays of Sonshine | Substance Abuse Rehabilitation Facility | 200 Breard St, Monroe, LA 71201-6704 | 2012-01-31 |
| 1558902916 | Serenity Sober Livving, LLC | Substance Abuse Rehabilitation Facility | 4600 Reddix Ln, Monroe, LA 71202-5949 | 2019-10-07 |
| 1760044754 | Milestone Recovery | Substance Abuse Rehabilitation Facility | 1805 Martin Luther King Jr Dr, Monroe, LA 71202-4517 | 2019-07-01 |
| 1801326723 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 3001 Armand St Ste A, Monroe, LA 71201-3761 | 2017-06-13 |
| 1548706765 | Christ Association | Substance Abuse Rehabilitation Facility | 700 S 6th St, Monroe, LA 71202-2226 | 2017-01-11 |
| 1942754049 | Kathy Wright | Substance Abuse Rehabilitation Facility | 1408 E Franklin St, Monroe, NC 28112-5160 | 2016-08-08 |
| 1225410632 | Women Empowering Women, Inc. | Substance Abuse Rehabilitation Facility | 3580 S Custer Rd, Monroe, MI 48161-9774 | 2015-06-22 |
| Find all providers in MONROE | ||||
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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.