CORRIE PRY (NPI# 1093315525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093315525 |
| Entity Type | Individual |
| Full Name | CORRIE PRY |
| Other Name | CORRIE JO ZALAC |
| Practice Address |
28303 Dequindre Rd Madison Heights MI 48071-3040 |
| Mailing Address |
22420 Revere St Saint Clair Shores MI 48080-2879 |
| Practice Telephone | 2486581116 |
| Mailing Telephone | 4128187252 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
28303 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437388 | Kehinde Awofala | Dentist | 28303 Dequindre Rd, Ste 130, Madison Heights, MI 48071-3040 | 2005-06-15 |
| 1760082762 | Brian P Frick | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2020-10-28 |
| 1700404225 | Mary Ann Daniel | Social Worker | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2020-07-10 |
| 1700429420 | Nicole Ann Allen | Psychologist | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2019-10-25 |
| 1710463633 | Robin Suzanne Mccoy | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2018-07-13 |
| 1972012052 | Matthew A Sroufe | Peer Specialist | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2017-09-21 |
| 1528312667 | Ginetta Marie Hardy | Counselor | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2012-10-27 |
| 1477805463 | The Mindful Self, LLC | Psychologist | 28303 Dequindre Rd, Suite 200, Madison Heights, MI 48071-3040 | 2012-10-15 |
| 1942510516 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 28303 Dequindre Rd, Madison Heights, MI 48071-3040 | 2010-10-18 |
| 1881882140 | Swift Home Care LLC | Home Health | 28303 Dequindre Rd, 120, Madison Heights, MI 48071-3040 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316430051 | Jakalyn Jarois | Counselor | 30671 Stephenson Hwy, Madison Heights, MI 48071-1635 | 2018-06-07 |
| 1356718985 | Mark Fras | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2015-08-31 |
| 1306213509 | Deborah Kimberly Bryk | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2015-08-24 |
| 1487061156 | Jamila Lamb | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2014-07-15 |
| 1336561281 | Linda Johnson-mcclendon | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2014-01-13 |
| 1396172466 | Shelisa Triplett | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2013-10-03 |
| 1528405446 | Lindsey Elken | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2013-06-01 |
| 1467790444 | Dorian Ivana Reed | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2013-01-25 |
| 1346505856 | Sarah Michelle Younger | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2012-07-10 |
| 1588965289 | William Ronald Grant II | Counselor | 1400 E 12 Mile Rd, Madison Heights, MI 48071-2651 | 2010-11-11 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on CORRIE PRY.
| 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.