STOP THE VIOLENCE PREVENTION OUTREACH PROGRAM (NPI# 1225597669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225597669 |
| Entity Type | Organization |
| Organization Name | STOP THE VIOLENCE PREVENTION OUTREACH PROGRAM |
| Practice Address |
28820 Southfield Rd Ste 124 Lathrup Village MI 48076-2775 |
| Practice Telephone | 3132213000 |
| Practice Fax Number | 8445000445 |
| Mailing Telephone | 3132213000 |
| Mailing Fax Number | 8445000445 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | DR. JOYCE JONES (CONFLICT RESOLUTION CONSULTANT/CEO) |
| Authorized Official Telephone | 3132213000 |
| Authorized Official Credential | DOCTORATE DIVINI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
28820 SOUTHFIELD RD STE 124 |
| City | LATHRUP VILLAGE |
| State | MI |
| Zip Code | 48076-2775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619436839 | Joyce Jones | Counselor | 28820 Southfield Rd Ste 124, Lathrup Village, MI 48076-2775 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619436839 | Joyce Jones | Counselor | 28820 Southfield Rd Ste 124, Lathrup Village, MI 48076-2775 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1316548720 | Christopher Klein | Counselor | Christopher Klein, 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-11-03 |
| 1851991640 | Crystal Lee Stewart | Counselor | 20500 Eureka Rd Ste 200, Taylor, MI 48180-6394 | 2020-10-29 |
| 1538768213 | The Made Institute | Counselor | 503 Garland St, Flint, MI 48503-2523 | 2020-10-22 |
| 1154938801 | Keenya Harris | Counselor | 1496 Mapleview St Se, Kentwood, MI 49508-4838 | 2020-09-27 |
| 1851908636 | Jearald Dudley II | Counselor | 47 Carriage Way, Ypsilanti, MI 48197-7430 | 2020-09-25 |
| 1407462450 | The Root Causation LLC | Counselor | 2483 S Linden Rd Ste 50, Flint, MI 48532-5435 | 2020-09-16 |
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1215542154 | Tamara Latrice Butler | Counselor | 27085 Gratiot Ave Ste 108, Roseville, MI 48066-2984 | 2020-09-08 |
| 1205449162 | Katherine Ann Huttenlocher | Counselor | 2835 Carpenter Rd Ste 5, Ann Arbor, MI 48108-1172 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | LATHRUP VILLAGE |
| Zip Code | 48076 |
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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.