TRACI DENISE BALLARD


Address: 79 W Alexandrine St, Detroit, MI 48201-2015
Phone: 3138315535

TRACI DENISE BALLARD (NPI# 1336695733) 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) 1336695733
Entity Type Individual
Full Name TRACI DENISE BALLARD
Credential MA, MPA, LLPC
Practice Address 79 W Alexandrine St
Detroit
MI 48201-2015
Practice Telephone 3138315535
Practice Fax Number 3138312608
Mailing Telephone 3138315535
Mailing Fax Number 3138312608
Enumeration Date 2016-08-26
Last Update Date 2020-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health 		6401016840 MI Behavioral Health & Social Service Providers
N 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 79 W ALEXANDRINE ST
City DETROIT
State MI
Zip Code 48201-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801846985 James Patrick Stenger Dentist 79 W Alexandrine St, 3rd Floor, Detroit, MI 48201-2015 2006-05-11
1518572809 Holly Paige Lawson Social Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-09-13
1013522416 Sadie Berthiaume Case Manager/Care Coordinator 79 W Alexandrine St, Detroit, MI 48201-2015 2020-09-11
1720604028 Tasneem Mahmoud Abdelhamid Community Health Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-06-23
1295358943 Jordan Michelle Nosis Student in an Organized Health Care Education/Training Program 79 W Alexandrine St, Detroit, MI 48201-2015 2020-05-28
1861032070 Joyce Witherspoon Case Manager/Care Coordinator 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-15
1770123176 Tyanna Elizabeth Jamison Peer Specialist 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-14
1518507565 Tia Mitchell Social Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-07
1154960342 Kristin Marie Kunes Social Worker 79 W Alexandrine St, Detroit, MI 48201-2015 2020-01-05
1629615836 Stephanie Warren Dental Hygienist 79 W Alexandrine St, Detroit, MI 48201-2015 2019-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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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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1669071585 Carraus Harden Counselor 13238 N Norfolk, Detroit, MI 48235-1026 2020-10-21
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1396374617 Venus D Amos Counselor 22725 Cambridge Ave, Detroit, MI 48219-1725 2020-04-07
1487280848 A Safe Place Counseling and Community Support Services L3c Counselor 20216 Albany St, Detroit, MI 48234-2505 2020-03-18
1689211088 Tracey Johnson Counselor 14010 Monica St Apt 23, Detroit, MI 48238-2565 2019-12-04
1790320331 Faith Hope & Love Outreach Center Inc Counselor 18284 James Couzens Fwy., Detroit, MI 48235-2503 2019-11-07
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 48201

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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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