COMPLETE KETAMINE INC (NPI# 1215568340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215568340 |
Entity Type | Organization |
Organization Name | COMPLETE KETAMINE INC |
Practice Address |
98 Winchester St Monroe MI 48161-1957 |
Practice Telephone | 7347319500 |
Mailing Telephone | 7347319500 |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |
Authorized Official Name | MISS AMY WERTENBERGER (CLINICAL DIRECTOR) |
Authorized Official Telephone | 7349316004 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Complete Ketamine & Wellness | Doing Business As Name - Organization |
Street Address |
98 WINCHESTER ST |
City | MONROE |
State | MI |
Zip Code | 48161-1957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007247 | Monroe Counseling LLC | Counselor | 98 Winchester St, Monroe, MI 48161-1957 | 2020-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
Find all providers in zip 48161 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1639702533 | Carissa Alexandra Sawyer | Counselor | 1401 Erin St, Monroe, LA 71201-4800 | 2020-02-19 |
1992342158 | Treasure Briggs | Counselor | 303 Colorado Dr, Monroe, LA 71203-7359 | 2019-12-06 |
1922644541 | Peaceful Soul Counseling and Group Therapy, Pllc | Counselor | 1501 N Charlotte Ave Ste B-127, Monroe, NC 28110-2525 | 2019-11-19 |
1407407182 | Ascension Therapeutic Services Inc | Counselor | 1736 Dickerson Blvd Ste 143, Monroe, NC 28110-2832 | 2019-09-24 |
1174182083 | Janna Carroll | Counselor | 1812 Glenmar Ave Ste C, Monroe, LA 71201-4974 | 2019-06-13 |
1184289704 | Rosa Maria De Prado Gonzalez | Counselor | 115 W Main St Ste 213, Monroe, WA 98272-1809 | 2019-05-08 |
1316408693 | Therapeutic Transformation, LLC | Counselor | 700 University Ave # 105, Monroe, LA 71209-9000 | 2019-03-28 |
1740754761 | Teia Anqwanette Coleman | Counselor | 1903 Stoney Point Cir, Monroe, NC 28112-5276 | 2019-01-12 |
Find all providers in MONROE |
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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.