MS. NIAAH ELLIS


Address: 4812 E. Mcnichols, Detroit, MI 48212
Phone: 3133684800

MS. NIAAH ELLIS (NPI# 1194051557) 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) 1194051557
Entity Type Individual
Full Name MS. NIAAH ELLIS
Credential B.A.H.C.S.
Practice Address 4812 E. Mcnichols
Detroit
MI 48212
Mailing Address 20226 Santa Rosa Dr
Detroit
MI 48221-1291
Practice Telephone 3133684800
Mailing Telephone 3132213352
Enumeration Date 2009-10-20
Last Update Date 2009-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 4812 E. MCNICHOLS
City DETROIT
State MI
Zip Code 48212

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1912136797 Latoya T Jackosn Counselor Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 2009-07-14
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1518438746 Curron Thomas Counselor 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 2018-12-16
1861962094 Reid Talley Counselor 12010 Elmhurst, Detroit, MI 48206 2018-11-30
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1598233892 Michigan Employment & Training Plus Counselor 6522 Piedmont St, Detroit, MI 48228-4950 2018-11-05
1821588773 Avery Brown Jr. Counselor 8333 Townsend St, Detroit, MI 48213-2331 2018-05-16
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Competitor

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City DETROIT
Zip Code 48212

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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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