INTEGRATIVE MENTAL HEALTH & WELLNESS SERVICES (NPI# 1821329681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821329681 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MENTAL HEALTH & WELLNESS SERVICES |
| Practice Address |
21261 Kelly Rd Eastpointe MI 48021-3125 |
| Practice Telephone | 5867717253 |
| Mailing Telephone | 5867717253 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | MR. JIMMIE LOVELL MABURY (OWNER) |
| Authorized Official Telephone | 5867717253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401011565 | MI | Behavioral Health & Social Service Providers |
| Street Address |
21261 KELLY RD |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316118540 | Joya Gaddy Rush-keli | Social Worker | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2008-03-15 |
| 1639534001 | For All My People Home Care | Home Health | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2015-12-29 |
| 1548646177 | Kashema Smith-mcfarland | Contractor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2015-08-05 |
| 1235497884 | Family Wellness Practice Pllc | Clinic/Center | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2012-05-01 |
| 1497072235 | Dawn Maureen Jackson | Social Worker | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2010-05-03 |
| 1760707780 | Integrative Home Health Care, Inc. | Home Health | 21261 Kelly Rd, Suite 106, Eastpointe, MI 48021-3125 | 2010-04-01 |
| 1558693325 | Shatonla Chenise Daniel | Counselor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2010-02-04 |
| 1790016137 | Gloria Marcella Johnson | Counselor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2010-01-25 |
| 1467685578 | Travena Taylor Green | Counselor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2009-08-24 |
| 1134367485 | Lisa Renae Scott | Social Worker | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2009-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427417229 | Ladell Leigh Spratt | Counselor | 23205 Gratiot Ave # 181, Eastpointe, MI 48021-1641 | 2016-02-22 |
| 1497162580 | Alshirie Davis | Counselor | 14915 Veronica Ave, Eastpointe, MI 48021-2849 | 2014-07-21 |
| 1467702407 | Mya Patrice Ndiaye | Counselor | 16320 E 9 Mile Rd, Eastpointe, MI 48021-2440 | 2012-09-18 |
| 1487804084 | Norman Eugene Lancit | Counselor | 2126 Kelly Road, Eastpointe, MI 48021 | 2008-09-19 |
| 1790016137 | Gloria Marcella Johnson | Counselor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2010-01-25 |
| 1467685578 | Travena Taylor Green | Counselor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2009-08-24 |
| 1558521732 | Yolanda James-thurman | Counselor | 21261 Kelly Rd, Eastpointe, MI 48021-3125 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
Please comment or provide details below to improve the information on INTEGRATIVE MENTAL HEALTH & WELLNESS SERVICES.
| 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.