DALILA JOY BEARD (NPI# 1003022922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003022922 |
Entity Type | Individual |
Full Name | DALILA JOY BEARD |
Credential | MSW |
Practice Address |
2300 N Adrian Hwy Adrian MI 49221-1728 |
Mailing Address |
4871 Packard St Apt B3 Ann Arbor MI 48108-1533 |
Practice Telephone | 5172641224 |
Mailing Telephone | 5172641224 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Street Address |
2300 N ADRIAN HWY |
City | ADRIAN |
State | MI |
Zip Code | 49221-1728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
Find all providers in zip 49221 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316393408 | Charles and Rose Kelley Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 718 Somerset Rd, Saginaw, MI 48638-6262 | 2016-05-09 |
1659621597 | Boys To Men Group Home, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 6025 Litchfield Ln, Kalamazoo, MI 49009-9128 | 2012-09-18 |
1902156359 | Ian Warnsley | Residential Treatment Facility, Emotionally Disturbed Children | 1204 Jenks Blvd, Kalamazoo, MI 49006-2179 | 2012-09-13 |
1063786168 | Adolescence In Motion | Residential Treatment Facility, Emotionally Disturbed Children | 237 N Old Woodward Ave Ste 5, Birmingham, MI 48009-5305 | 2012-03-07 |
1750618419 | Lakeside for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3921 Oakland Dr, Kalamazoo, MI 49008-4819 | 2009-11-17 |
1518110386 | Don Bosco Hall | Residential Treatment Facility, Emotionally Disturbed Children | 10001 Petoskey Ave, Detroit, MI 48204-3908 | 2008-10-24 |
1487841730 | The Salvation Army Denby Center | Residential Treatment Facility, Emotionally Disturbed Children | 20775 Pembroke Ave, Detroit, MI 48219-1345 | 2007-10-01 |
1720123706 | Highfields | Residential Treatment Facility, Emotionally Disturbed Children | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2007-02-20 |
1154472710 | Boys & Girls Republic | Residential Treatment Facility, Emotionally Disturbed Children | 28000 W 9 Mile Rd, Farmington Hills, MI 48336-3812 | 2007-01-12 |
1659428167 | Methodist Children's Home Society | Residential Treatment Facility, Emotionally Disturbed Children | 26645 W 6 Mile Rd, Redford, MI 48240-2319 | 2007-01-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DALILA JOY BEARD.
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.