MRS. LISA POLK-WOOLFOLK


Address: 3731 Rivard St, Detroit, MI 48207-4740
Phone: 3132589713

MRS. LISA POLK-WOOLFOLK (NPI# 1003126970) 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) 1003126970
Entity Type Individual
Full Name MRS. LISA POLK-WOOLFOLK
Credential MS, LLPC, CAC-M
Practice Address 3731 Rivard St
Detroit
MI 48207-4740
Practice Telephone 3132589713
Mailing Telephone 3132589713
Enumeration Date 2010-10-13
Last Update Date 2010-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
104717 MI Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
6401012200 MI Behavioral Health & Social Service Providers
N 104100000X Social Worker 6802063821 MI Behavioral Health & Social Service Providers

Office Location

Street Address 3731 RIVARD ST
City DETROIT
State MI
Zip Code 48207-4740

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1043723737 Olivia Carter Case Management 2712 Gratiot, Detroit, MI 48207 2017-11-16
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285244731 Better Days Counseling, Pllc Counselor 13501 Schaefer Hwy, Detroit, MI 48227-3538 2020-08-08
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1306473145 Julie Weatherhead Counselor 1624 Estates Dr, Detroit, MI 48206-2814 2020-03-23
1972134591 Tanya Bankston Counselor 4221 Moran St, Detroit, MI 48207-1705 2020-02-01
1871124768 Andrew Todd Henderson Counselor 1 Detroit Metro Airport, Detroit, MI 48242-1004 2020-01-29
1922561059 Odis Bellinger Counselor 440 Burroughs St Ste 149, Detroit, MI 48202-3429 2019-04-06
1245799469 Zipporah K Bolar Sr. Counselor 2900 Conner St Bldg A, Detroit, MI 48215-2407 2019-03-18
1215493549 Sammie Edwards Counselor 15734 Sussex St, Detroit, MI 48227 2019-02-12
1942764329 Crystal Jean Oliver Counselor 13770 Mecca St., Detroit, MI 48227-3025 2019-01-30
1922577246 Sheila Marie Cheeks Counselor 1600 Pingree St, Detroit, MI 48206-2436 2018-11-15
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Competitor

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City DETROIT
Zip Code 48207

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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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