MRS. KENDELLA LAKECIA COLEMAN (NPI# 1891190070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891190070 |
| Entity Type | Individual |
| Full Name | MRS. KENDELLA LAKECIA COLEMAN |
| Credential | LLPC |
| Practice Address |
2939 Russell St Detroit MI 48207-4825 |
| Mailing Address |
26614 W Chicago Redford MI 48239-2231 |
| Practice Telephone | 3133965300 |
| Mailing Telephone | 3136589580 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401014587 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2939 RUSSELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881679355 | Margo Kimberlee Ferguson | Family Medicine | 2939 Russell St, Detroit, MI 48207-4825 | 2005-12-07 |
| 1962869081 | Venecya Latonya Gavin | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2016-01-20 |
| 1043686215 | Samah Abdul Altairi | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-08-11 |
| 1114303740 | Ngozi Eke | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-08-05 |
| 1457735524 | Krystle Nicole Carter | Case Manager/Care Coordinator | 2939 Russell St, Detroit, MI 48207-4825 | 2015-07-17 |
| 1770966368 | Team Wellness Center | Case Management | 2939 Russell St, Detroit, MI 48207-4825 | 2015-07-01 |
| 1255727921 | Michael John Allen | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-04-09 |
| 1518350404 | Laporsche Smith | Case Manager/Care Coordinator | 2939 Russell St, Detroit, MI 48207-4825 | 2015-03-16 |
| 1780075705 | Patricia Mckinnin/sandridge | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-12 |
| 1316338841 | Tiffany Black | Social Worker | 2939 Russell St, Detroit, MI 48207-4825 | 2015-02-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143046 | Comforting Adult Services LLC | Counselor | 14559 Monica St, Detroit, MI 48238-1953 | 2020-01-18 |
| 1235779406 | Jacqueline Yvetter Smith Davis | Counselor | 16609 Archdale St, Detroit, MI 48235-3416 | 2020-01-15 |
| 1033767843 | Shawn Alecia Mccoy | Counselor | 3600 3rd St Apt 1004, Detroit, MI 48201-2337 | 2019-08-27 |
| 1013472745 | Shyfirska Emery | Counselor | 13700 Linnhurst St, Detroit, MI 48205-2885 | 2019-02-06 |
| 1871060368 | Taia Sardinas | Counselor | 7251 E Congress St Apt 307, Detroit, MI 48214-2395 | 2018-11-01 |
| 1639668387 | Debora Lynn Howard | Counselor | 17200 Rowe St, Detroit, MI 48205-3120 | 2018-05-08 |
| 1932698669 | Alexis J Terry | Counselor | 5555 Conner St Ste 2210, Detroit, MI 48213-3496 | 2018-05-08 |
| 1245739614 | Chavela Bryant | Counselor | 18659 Griggs St, Detroit, MI 48221-1907 | 2018-02-12 |
| 1962901835 | Kendra Sibert | Counselor | 5112 Beaubien St, Detroit, MI 48202-4107 | 2018-02-06 |
| 1649787714 | Katrina Frazier | Counselor | 19968 Hubbell St, Detroit, MI 48235-1603 | 2018-01-10 |
| Find all providers in DETROIT | ||||
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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.