CYD CHARISSE GRACE (NPI# 1033590286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033590286 |
| Entity Type | Individual |
| Full Name | CYD CHARISSE GRACE |
| Credential | MA,LLPC,LBSW |
| Practice Address |
45660 Schoenherr Rd Ste A Shelby Township MI 48315-6033 |
| Mailing Address |
45660 Schoenherr Rd Ste A Utica MI 48315-6033 |
| Practice Telephone | 5865663020 |
| Practice Fax Number | 5865663055 |
| Mailing Telephone | 5865663020 |
| Mailing Fax Number | 5865663055 |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401014502 | MI | Behavioral Health & Social Service Providers |
| Street Address |
45660 SCHOENHERR RD STE A |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| 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 |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1174086946 | Alliance Professional Counseling LLC | Counselor | 13295 W Star Dr, Shelby Township, MI 48315-2741 | 2019-04-09 |
| 1780169656 | Liza Hinchey | Counselor | 45445 Mound Rd Ste 111, Shelby Township, MI 48317-5178 | 2018-09-26 |
| 1609313097 | Donna Ann Berry | Counselor | 53027 Hawald Dr, Shelby Township, MI 48316-3757 | 2017-01-24 |
| 1518324839 | Kristina Eubanks | Counselor | 45039 Oak Hill Blvd, Shelby Township, MI 48317-4932 | 2016-01-16 |
| 1922496702 | Elizabeth Porter | Counselor | 8072 21 Mile Rd, Shelby Township, MI 48317-4310 | 2015-01-02 |
| 1942515325 | Tonya Jean Ratliff | Counselor | 45445 Mound Rd, Suite 111, Shelby Township, MI 48317-5178 | 2010-08-10 |
| 1073713699 | Cynthia Ann Kozak | Counselor | 46413 Spruce Dr, Shelby Township, MI 48315-5757 | 2007-07-22 |
| 1831138718 | Debra Marie Kuszmaul | Counselor | 13001 23 Mile Rd Ste 103, Shelby Township, MI 48315-2767 | 2006-06-06 |
| 1457982084 | Andrew William Wilgus | Counselor | 50258 Van Dyke Ave Ste A, Shelby Township, MI 48317-1374 | 2020-02-02 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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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.