LARRY HATHORNE (NPI# 1255707832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255707832 |
| Entity Type | Individual |
| Full Name | LARRY HATHORNE |
| Practice Address |
2000 Town Ctr 1900 Southfield MI 48075-1135 |
| Mailing Address |
8326 Esper St Detroit MI 48204-3122 |
| Practice Telephone | 3137015787 |
| Mailing Telephone | 3137015787 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
L749595 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2000 TOWN CTR 1900 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356577142 | Constant Home Healthcare, LLC. | Home Health | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2009-06-07 |
| 1194250837 | Tamara White | Counselor | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2017-05-01 |
| 1154794220 | Alliance Transportation | Non-emergency Medical Transport (VAN) | 2000 Town Ctr, Suite 650, Southfield, MI 48075-1135 | 2015-11-11 |
| 1619356920 | Cheryl Lynne Vanbeck | Dental Hygienist | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2015-05-20 |
| 1881072221 | Providing Hearts Home Health Service | In Home Supportive Care | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2015-05-18 |
| 1205223419 | Appleseed Professional Development LLC | Clinic/Center | 2000 Town Ctr, Suite1900, Southfield, MI 48075-1135 | 2015-04-26 |
| 1093129322 | Jannise Newby | Counselor | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2014-06-14 |
| 1386062586 | Kingdom Rehabilatation Group | Home Health | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2014-04-03 |
| 1952729154 | Dorenea Gurard | Contractor | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2014-04-03 |
| 1023431335 | Quality Home Health Services of Southeast Michigan | Custodial Care Facility | 2000 Town Ctr, Suite 1900, Southfield, MI 48075-1135 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459635 | Jaron Varner | Counselor | 18977 W 10 Mile Rd Ste 100a, Southfield, MI 48075-2627 | 2020-02-12 |
| 1750922332 | Flexx Counseling, Pllc | Counselor | 16250 Northland Dr Ste 103, Southfield, MI 48075-5226 | 2019-10-04 |
| 1902458300 | True Thoughts LLC | Counselor | 22511 Telegraph Rd Ste 129, Southfield, MI 48033-4115 | 2019-07-15 |
| 1912469115 | Moss Therapy and Wellness, Pllc | Counselor | 17350 W 10 Mile Rd, Southfield, MI 48075-2929 | 2019-04-05 |
| 1023580271 | Jamika Diane Harris | Counselor | 29260 Franklin Rd Ste 123, Southfield, MI 48034-1144 | 2018-12-28 |
| 1275020075 | Faith Shenay Williams | Counselor | 24363 Evergreen Rd, Southfield, MI 48075-5524 | 2018-04-17 |
| 1912411182 | Robert Stewart II | Counselor | 19319 Birchridge St, Southfield, MI 48075-5837 | 2017-11-27 |
| 1417487828 | Pleasant Care Adult Day Care LLC | Counselor | 30308 Southfield Rd Apt 60a, Southfield, MI 48076-1338 | 2017-06-18 |
| 1932645025 | Higher Heights Counseling Services, LLC | Counselor | 26677 W 12 Mile Rd Ste 111, Ste 111, Southfield, MI 48034-1514 | 2017-01-12 |
| 1356898829 | Elaina Nicole Gardner | Counselor | 30640 Longcrest St, Southfield, MI 48076-1562 | 2016-09-01 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on LARRY HATHORNE.
| 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.