DESIREE BALCONI (NPI# 1366981524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366981524 |
| Entity Type | Individual |
| Full Name | DESIREE BALCONI |
| Credential | LLPC |
| Practice Address |
44070 W 12 Mile Rd Suite #200 Novi MI 48377-2648 |
| Mailing Address |
7 Parkside Blvd Port Wentworth GA 31407-3343 |
| Practice Telephone | 2487738440 |
| Practice Fax Number | 2487738441 |
| Mailing Telephone | 9063619066 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401015905 | MI | Behavioral Health & Social Service Providers |
| Street Address |
44070 W 12 MILE RD SUITE #200 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649711615 | Clifford Jovan Clark | Counselor | 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 | 2017-03-10 |
| 1558800631 | Lyn Spence | Counselor | 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 | 2017-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932774 | Comeback Collaborations, LLC | Counselor | 28175 Haggerty Rd Ste 126, Novi, MI 48377-2903 | 2020-01-30 |
| 1376909812 | Lorise Grey | Counselor | 41818 Brownstone Dr, Novi, MI 48377-4802 | 2016-01-13 |
| 1083087373 | Nadia Samhouri Sater | Counselor | 27093 Ladbroke St, Novi, MI 48374-1006 | 2015-11-09 |
| 1407230626 | Roberta Annette Cross | Counselor | 44070 W 12 Mile Rd Ste 200, Novi, MI 48377-2648 | 2015-07-17 |
| 1427335074 | Lynn Jarrett | Counselor | 50200 W 10 Mile Rd, Novi, MI 48374-2617 | 2011-11-10 |
| 1023301538 | Michelle Rice Ghee | Counselor | 22226 Solomon Blvd, 232, Novi, MI 48375-5074 | 2011-05-17 |
| 1689188500 | Charisse Monique Staine | Counselor | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2017-11-30 |
| 1578096483 | Jordyn Havens | Counselor | 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 | 2017-04-07 |
| 1558800631 | Lyn Spence | Counselor | 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 | 2017-02-22 |
| 1285091462 | Yolanda Edwards | Counselor | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-01-20 |
| Find all providers in NOVI | ||||
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| 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.