COMPLETE KETAMINE INC


Address: 98 Winchester St, Monroe, MI 48161-1957
Phone: 7347319500

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Complete Ketamine & Wellness Doing Business As Name - Organization

Office Location

Street Address 98 WINCHESTER ST
City MONROE
State MI
Zip Code 48161-1957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861007247 Monroe Counseling LLC Counselor 98 Winchester St, Monroe, MI 48161-1957 2020-09-11

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1982224457 Michelle D Jones Counselor 1410 Jackson St, Monroe, LA 71202-2026 2020-04-24
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
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Competitor

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City MONROE
Zip Code 48161

Improve Information

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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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