MR. BERNARD IKE ONWUEMELIE


Address: 20291 Trinity St, Detroit, MI 48219-1351
Phone: 3137532292

MR. BERNARD IKE ONWUEMELIE (NPI# 1295971075) 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) 1295971075
Entity Type Individual
Full Name MR. BERNARD IKE ONWUEMELIE
Credential LMSW, CAADC
Practice Address 20291 Trinity St
Detroit
MI 48219-1351
Practice Telephone 3137532292
Practice Fax Number 3135324608
Mailing Telephone 3137532292
Mailing Fax Number 3135324608
Enumeration Date 2008-12-26
Last Update Date 2014-04-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6801084613 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN 80-0-89-8408-0 01

Office Location

Street Address 20291 TRINITY ST
City DETROIT
State MI
Zip Code 48219-1351

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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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1689211088 Tracey Johnson Counselor 14010 Monica St Apt 23, Detroit, MI 48238-2565 2019-12-04
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1518517606 Southwest Solutions Counselor 5716 Michigan, Detroit, MI 48210 2019-09-19
1942858550 Ronald Royce Cochran Counselor 2925 Russell St, Detroit, Detroit, MI 48207 2019-08-27
1497210744 Phoenix Interventions Pllc Counselor 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 2019-01-31
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Competitor

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City DETROIT
Zip Code 48219

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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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