MR. ROBERT MICHAEL CONNOLLY


Address: 1852 W Grand Blvd, Detroit, MI 48208-1006
Phone: 3138948444

MR. ROBERT MICHAEL CONNOLLY (NPI# 1942451554) 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) 1942451554
Entity Type Individual
Full Name MR. ROBERT MICHAEL CONNOLLY
Practice Address 1852 W Grand Blvd
Detroit
MI 48208-1006
Practice Telephone 3138948444
Practice Fax Number 3138945542
Enumeration Date 2008-10-02
Last Update Date 2008-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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Office Location

Street Address 1852 W GRAND BLVD
City DETROIT
State MI
Zip Code 48208-1006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851457451 Self Help Addiction Rehabilitation (shar) Substance Abuse Rehabilitation Facility 1852 W Grand Blvd, Detroit, MI 48208-1006 2006-12-28
1295373504 Teri Laurie Colvin Community Based Residential Treatment Facility, Mental Illness 1852 W Grand Blvd, Detroit, MI 48208-1006 2019-12-17
1659827301 Felicia Jackson Community Health Worker 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-08-31
1285090886 Mark Winfield II Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-12
1134585003 Rae Harris Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-08
1831555630 Carolyn Louise Miles Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-08
1598121386 Lawrence Barnes Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-08
1396101226 Tinelda Williamson Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
1043676968 Lee Zinsky Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
1962868893 Tiffani Holley Counselor 1852 W Grand Blvd, Detroit, MI 48208-1006 2016-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1932645405 Diane Louise Dodson Counselor 5500 Trumbull Apt 315, Detroit, MI 48208 2017-01-09
1164881306 Cory Eugene Martin Counselor 1852 W. Grand Blvd., Detroit, MI 48208 2016-02-16
1578947784 Hamza Belhaj Dentist 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 2015-07-17
1942629167 Diana Pool Counselor 3737 Lawton, Detroit, MI 48208 2014-04-15
1124467048 Aisha Williams Social Worker 4707 Vinewood St., Detroit, MI 48208 2013-06-25
1295079895 Mia Love Nurse Practitioner 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 2012-11-20
1992064356 Valarie Egeria Foulks Counselor 2051 W. Grand Blvd, Detroit, MI 48208 2012-05-04
1023304078 Ayana Njeri Davis Massage Therapist 2550 W. Grand Blvd, Detroit, MI 48208 2011-06-28
1184922627 Shar Inc. Community Based Residential Treatment Facility, Mental Illness 1852 W.grand Blvd, Detroit, MI 48208 2011-03-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1689211088 Tracey Johnson Counselor 14010 Monica St Apt 23, Detroit, MI 48238-2565 2019-12-04
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1518517606 Southwest Solutions Counselor 5716 Michigan, Detroit, MI 48210 2019-09-19
1942858550 Ronald Royce Cochran Counselor 2925 Russell St, Detroit, Detroit, MI 48207 2019-08-27
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Competitor

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City DETROIT
Zip Code 48208

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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