MS. MARY YOUNG (NPI# 1164831012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164831012 |
| Entity Type | Individual |
| Full Name | MS. MARY YOUNG |
| Credential | LLPC |
| Practice Address |
11457 Shoemaker St Detroit MI 48213-3418 |
| Practice Telephone | 3132679600 |
| Practice Fax Number | 3132672072 |
| Mailing Telephone | 3132679600 |
| Mailing Fax Number | 3132672072 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6488531452 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604360 | Mary Beth Young | Speech-Language Pathologist | 1692 Elm Pl, Clearwater, FL 33755-1317 | 2019-11-26 |
| 1447748637 | Mary Catherine Young | Specialist/Technologist | 585 Longview Dr, Lexington, KY 40503-1707 | 2018-04-24 |
| 1407378789 | Mary Theresa Young | Assistant Behavior Analyst | 5787 Grand Teton Loop, Anchorage, AK 99502-4057 | 2017-07-08 |
| 1902341647 | Mary E Young | Pediatrics | 10119 Gary Rd, Potomac, MD 20854-4109 | 2017-01-04 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1649618687 | Mary Catherine Young | Registered Nurse | 532 Meridan St, Morgantown, WV 26505 | 2013-06-12 |
| 1093073702 | Mary E Young | Counselor | Lifeworks Counseling Services, 2500 S Broadway, Ste 340b, Edmond, OK 73013 | 2012-05-01 |
| 1841563269 | Mary Young | Physical Therapist | 420 Wharton St, Philadelphia, PA 19147-5227 | 2012-02-15 |
| 1548561525 | Mary C Young | Counselor | 2806 Highway 35 N, Rockport, TX 78382-5711 | 2010-11-08 |
| 1437462827 | Mary Elizabeth Young | Marriage & Family Therapist | 1202 S Fm116 Copperas Cove, Apt 1104, Copperas Cove, TX 76522-3604 | 2010-07-14 |
| Street Address |
11457 SHOEMAKER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205854916 | Detroit East, Inc | Clinic/Center | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2006-07-18 |
| 1609238674 | Satyamurthy Kotamraju Md PC | Psychiatry & Neurology | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2016-03-28 |
| 1619366705 | Moidunny N Abdutty Sr. | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2015-01-13 |
| 1265833495 | Gwendolyn Wright | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-09-08 |
| 1518367390 | Aurora Cebu | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-28 |
| 1497155501 | Yolanda James | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| 1932509130 | Tiffany Reece | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| 1053720706 | Matthew Brown | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-07 |
| 1053720672 | Lauren Hyde Swanson | Social Worker | 11457 Shoemaker St, Detroit, MI 48213 | 2014-08-07 |
| 1770992455 | Safanya Kent | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| 1386255032 | Restore Me, LLC | Counselor | 17836 Chandler Park Dr, Detroit, MI 48224-1340 | 2020-08-14 |
| 1396374617 | Venus D Amos | Counselor | 22725 Cambridge Ave, Detroit, MI 48219-1725 | 2020-04-07 |
| 1487280848 | A Safe Place Counseling and Community Support Services L3c | Counselor | 20216 Albany St, Detroit, MI 48234-2505 | 2020-03-18 |
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1790320331 | Faith Hope & Love Outreach Center Inc | Counselor | 18284 James Couzens Fwy., Detroit, MI 48235-2503 | 2019-11-07 |
| 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 |
| 1497210744 | Phoenix Interventions Pllc | Counselor | 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 | 2019-01-31 |
| Find all providers in DETROIT | ||||
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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.