JILL HUDAK (NPI# 1386111631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386111631 |
| Entity Type | Individual |
| Full Name | JILL HUDAK |
| Other Name | JILL SABO |
| Credential | LLPC, ATR |
| Practice Address |
4000 W Walton Blvd Ste A-b Waterford MI 48329-4191 |
| Practice Telephone | 2484616266 |
| Mailing Telephone | 2484616266 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4000 W WALTON BLVD STE A-B |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184187049 | Jennifer Rebecca Damron | Counselor | 4000 W Walton Blvd Ste A-b, Waterford, MI 48329-4191 | 2019-04-08 |
| 1649732421 | Audra Irvette Bell | Social Worker | 4000 W Walton Blvd Ste A-b, Waterford, MI 48329-4191 | 2019-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217364 | Gabrielle Carr Lpc | Counselor | 210 S. High St., Waterford, PA 16441-8312 | 2020-02-21 |
| 1548648165 | Loubna Alkhayat | Counselor | 4000 Highland Rd Ste 110, Waterford, MI 48328-2163 | 2015-05-14 |
| 1558756486 | Michele Morelli | Counselor | 3520 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2015-03-28 |
| 1821427030 | Christina Norton | Counselor | 1089 Princeton Dr, Waterford, MI 48327-4087 | 2013-11-07 |
| 1548609837 | Sara Lori Platz | Counselor | 2685 Woodbine Dr, Waterford, MI 48328-3955 | 2013-06-19 |
| 1245576537 | Joyce Morgan Elias | Counselor | 83 Boston Post Rd, Waterford, CT 06385-2423 | 2012-12-14 |
| 1619106168 | Anne Marie Hull | Counselor | 249 E 3rd St, Waterford, PA 16441-9753 | 2009-07-06 |
| 1720243710 | Aditi H Gohil | Counselor | 567 Vauxhall Street Ext Ste 303, Waterford, CT 06385-4341 | 2008-07-19 |
| 1164439626 | James Earl Sutton | Counselor | 1724 Airport Rd, Waterford, MI 48327-1390 | 2006-08-01 |
| 1609819986 | Lynn G Hartung | Counselor | 3846 Chenlot Drive, Waterford, MI 48328-4303 | 2006-06-14 |
| Find all providers in WATERFORD | ||||
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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.