ALICIA BONAHOOM (NPI# 1245651389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245651389 |
Entity Type | Individual |
Full Name | ALICIA BONAHOOM |
Credential | MA, LLP |
Practice Address |
202 Lakeview Ave Grosse Pointe Farms MI 48236-2907 |
Mailing Address |
620 N Old Woodward Ave Suite 201 Birmingham MI 48009-3855 |
Practice Telephone | 3139092363 |
Mailing Telephone | 3139092363 |
Enumeration Date | 2013-12-16 |
Last Update Date | 2013-12-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 6301011059 | MI | Behavioral Health & Social Service Providers |
Street Address |
202 LAKEVIEW AVE |
City | GROSSE POINTE FARMS |
State | MI |
Zip Code | 48236-2907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548884067 | Sarah Ventimiglia | Physician Assistant | 202 Lakeview Ave, Grosse Pointe Farms, MI 48236-2907 | 2020-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
Find all providers in zip 48236 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588520 | Janice Marie Twesten | Marriage & Family Therapist | 7066 Country Springs Dr Sw, Byron Center, MI 49315-8129 | 2020-11-06 |
1891392288 | Megan E Six | Marriage & Family Therapist | 733 Madison Ave Se, Grand Rapids, MI 49503-5317 | 2020-10-08 |
1053927350 | Sally Catherine Demshur | Marriage & Family Therapist | 2534 Lupine Ct, Okemos, MI 48864-3366 | 2020-09-22 |
1801407481 | Regina V. Grujovski | Marriage & Family Therapist | 25156 Pine View Ave, Warren, MI 48091-1567 | 2020-08-16 |
1649892548 | Angie L Nelson-gates | Marriage & Family Therapist | 25 Centennial Ave Nw, Grand Rapids, MI 49504-5921 | 2020-05-13 |
1699307512 | James Glen Clapper | Marriage & Family Therapist | 5851 Gilman St, Garden City, MI 48135-2512 | 2020-02-08 |
1801427323 | Relationship Therapy LLC | Marriage & Family Therapist | 1800 N Milford Rd Ste 101, Milford, MI 48381-1047 | 2020-02-03 |
1508409715 | Susan Lesley King Roney | Marriage & Family Therapist | 934 Cambridge Dr Se, Grand Rapids, MI 49506-3360 | 2019-10-21 |
1114575610 | Kymberly M Cunningham | Marriage & Family Therapist | 20220 Mitchell St, Detroit, MI 48234-1577 | 2019-08-28 |
1528616224 | Edythe Annette Brown | Marriage & Family Therapist | 26861 Bloomfield Dr S, Lathrup Village, MI 48076-4403 | 2019-08-27 |
Find all providers with the same taxonomy |
City | GROSSE POINTE FARMS |
Zip Code | 48236 |
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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.