BENJAMIN ANTONIO TATE (NPI# 1194281337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194281337 |
| Entity Type | Individual |
| Full Name | BENJAMIN ANTONIO TATE |
| Credential | LLPC,CAADC-DP |
| Practice Address |
9315 Telegraph Rd Redford MI 48239-1260 |
| Practice Telephone | 3134504500 |
| Mailing Telephone | 3134504500 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401017042 | MI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401017042 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170603 | Benjamin Tate Jr. | Physical Medicine & Rehabilitation | 100 W College St, Granville, OH 43023-1100 | 2020-07-04 |
| Street Address |
9315 TELEGRAPH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451944 | Lincoln Behavioral Services | General Practice | 9315 Telegraph Rd, Redford, MI 48239 | 2006-01-13 |
| 1356941454 | Angelica Debono | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-10-28 |
| 1477182574 | Christie Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-04-02 |
| 1043846116 | Breanne Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-03-20 |
| 1407488729 | Zeinab M Dabajeh | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-02-05 |
| 1356987762 | Lincoln Behavioral Services | Family Medicine | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-20 |
| 1952945826 | Daniel Evan Diskin | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-04 |
| 1124669775 | Sara Kifah Jayyousi | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-04 |
| 1275174062 | Kelsey Vest | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-02 |
| 1508415753 | Jennifer Pettway | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883244 | Dayna Lamkey | Counselor | 12723 Telegraph Rd Ste 200, Redford, MI 48239-1489 | 2020-02-20 |
| 1194212019 | Allison Jones | Counselor | 13982 Royal Grand, Redford, MI 48239-2846 | 2018-04-16 |
| 1619492311 | Jacqueline Yvonne Thurmand | Counselor | 26520 Grand River Ave Ste 121, Redford, MI 48240-1506 | 2017-08-03 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1083162598 | Tracey Helms | Counselor | 9623 Hemingway, Redford, MI 48239-2292 | 2016-09-13 |
| 1003261611 | Unity Counseling Clinic PC | Counselor | 13938 Inkster Rd St 400, Redford, MI 48239-3038 | 2016-05-02 |
| 1487009718 | Sharon Grier-byrd | Counselor | 26230 W Chicago, Redford, MI 48239-2164 | 2016-04-23 |
| 1841699816 | Jerusha F. Nelson-brent | Counselor | 11396 Appleton, Redford, MI 48239-1442 | 2014-08-15 |
| 1205266582 | David Coleman | Counselor | 8917 Seminole, Redford, MI 48239-2323 | 2013-11-22 |
| 1598049694 | Kiera Cannon | Counselor | 8965 Crosley, Redford, MI 48239-1535 | 2011-10-06 |
| Find all providers in REDFORD | ||||
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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.