TERRY BETHEL TROUP


Address: 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119
Phone: 2485590730

TERRY BETHEL TROUP (NPI# 1336439124) 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) 1336439124
Entity Type Individual
Full Name TERRY BETHEL TROUP
Credential LPC
Practice Address 17352 W 12 Mile Rd
Suite 100
Southfield
MI 48076-2119
Mailing Address 18691 Littlefield St
Detroit
MI 48235-1352
Practice Telephone 2485590730
Mailing Telephone 3634336263
Enumeration Date 2011-04-13
Last Update Date 2011-04-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6401008287 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LICENSE NUMBER 6401008287 01

Office Location

Street Address 17352 W 12 MILE RD
SUITE 100
City SOUTHFIELD
State MI
Zip Code 48076-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861437584 Zen L.l.c Home Health 17352 W 12 Mile Rd, Suite #205, Southfield, MI 48076-2119 2006-06-17
1083951180 Orchard Adult Day Care, LLC Clinic/Center 17352 W 12 Mile Rd, Suite 210, Southfield, MI 48076-2119 2013-01-09
1427280361 Julie Ann Woodworth Marriage & Family Therapist 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119 2009-08-11
1548412810 Specialty Home Health Services, LLC Home Health 17352 W 12 Mile Rd, Suite 200, Southfield, MI 48076-2119 2008-10-17
1548428014 Linda Riley Hathorne Counselor 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119 2008-05-30
1013175587 Allen Russell Adams Social Worker 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119 2008-05-30
1922125590 Cheryl Leigh Somers Psychologist 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119 2007-03-26
1073647731 Burdette and Doss Psychological Services Lc Counselor 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119 2007-03-15
1649321167 Mary Katherine Tullio Social Worker 17352 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2119 2007-01-12
1316097488 James Arthur Cowley Sr. Social Worker 17352 W 12 Mile Rd, Burdette & Doss Clinic, Southfield, MI 48076 2007-01-11
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Providers in the same zip code

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
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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...

Providers in the same taxonomy and city

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
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Competitor

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City SOUTHFIELD
Zip Code 48076

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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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