CHARLOTTE YVONNE OVERALL


Address: 13334 Longview St, Detroit, MI 48213-1919
Phone: 3135448695

CHARLOTTE YVONNE OVERALL (NPI# 1356988562) 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) 1356988562
Entity Type Individual
Full Name CHARLOTTE YVONNE OVERALL
Practice Address 13334 Longview St
Detroit
MI 48213-1919
Practice Telephone 3135448695
Mailing Telephone 3135448695
Enumeration Date 2019-12-06
Last Update Date 2019-12-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Provider Secondary Practice Location

Address Telephone Number Fax Number
5090 Nottingham Rd, Detroit, MI 482243131 3135448695

Office Location

Street Address 13334 LONGVIEW ST
City DETROIT
State MI
Zip Code 48213-1919

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1215540430 Sheronda Lanetta Blackmon Licensed Practical Nurse 13929 Harper Ave., Detroit, MI 48213 2020-08-27
1073049144 Cheryl Williams Community Health Worker 13929 Chalmers Ave., Detroit, MI 48213 2017-05-10
1164963401 Smile Fresh Detroit PC Dentist 7230 Gratiot Avenue, Detroit, MI 48213 2017-03-20
1255887899 Jay Washington Behavioral Analyst 9146 Haper, Detroit, MI 48213 2016-09-01
1396129532 Sarietha King Home Health 14639 Manistique, Detroit, MI 48213 2015-07-17
1366823197 Royal Treatment Mental Health Systems, LLC Counselor 5555 Corner Avenue, Detroit, MI 48213 2015-06-17
1477956779 Monique Powell Student in an Organized Health Care Education/Training Program 5801 Lakeview S.t, Detroit, MI 48213 2014-09-30
1629339163 Samuel Joseph Farmer Counselor 10100 Harper Ave., Detroit, MI 48213 2012-05-31
1609164755 Vernon Keith Johnson Social Worker 20203 Kelly Road, Detroit, MI 48213 2011-07-11
1023312790 Davenport Quality Home Care LLC Home Health 5027 Maxwell, Detroit, MI 48213 2011-01-10
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336394 Kcs Community Services Inc Community/Behavioral Health 16577 Muirland St, Detroit, MI 48221-3012 2020-11-04
1477110054 Reymac Home Healthcare LLC Community/Behavioral Health 13030 W 7 Mile Rd, Detroit, MI 48235-1335 2019-05-20
1033773528 Great Futures Family Services Inc Community/Behavioral Health 11475 E Outer Dr, Detroit, MI 48224-3226 2019-04-30
1275197527 Volunteers of America Michigan Community/Behavioral Health 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 2019-04-23
1891271458 Bwl Care, LLC Community/Behavioral Health 16861 Wyoming St, Detroit, MI 48221-2850 2018-07-17
1780189365 Fayna T Counseling Services Pllc Community/Behavioral Health 5575 Conner St Ste 208, Detroit, MI 48213-6401 2018-03-27
1912400508 Your Voice and Choice, Pllc Community/Behavioral Health 12241 Vaughan St, Detroit, MI 48228-1008 2018-03-09
1508365560 Zion's Hope Social Services LLC Community/Behavioral Health 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 2018-02-06
1073035473 Creative Empowerment Counseling Services, LLC Community/Behavioral Health 214 Manistique, Detroit, MI 48215 2017-07-07
1255877668 Church of God In Christ Social Services of Michigan Community/Behavioral Health 15350 Southfield Fwy, Detroit, MI 48223-1359 2017-01-09
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Competitor

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City DETROIT
Zip Code 48213

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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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