LIBERTY TEMPLE OUTREACH (NPI# 1396983557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396983557 |
| Entity Type | Organization |
| Organization Name | LIBERTY TEMPLE OUTREACH |
| Practice Address |
1710 E Grand Blvd Detroit MI 48211-3146 |
| Mailing Address |
18951 Sussex St Detroit MI 48235-2841 |
| Practice Telephone | 3134491117 |
| Mailing Telephone | 3134491117 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | ANTHONY COOPER (CEO) |
| Authorized Official Telephone | 3134491117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
1710 E GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48211-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528572930 | Tabatha Green | Licensed Practical Nurse | 1221 East Brand Blvd, Detroit, MI 48211 | 2017-11-21 |
| 1760714406 | Nathan Terey | Counselor | 5470 Chene Ave, Detroit, MI 48211 | 2010-02-05 |
| 1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
| 1497872352 | Une Sur Une Resource Services LLC | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-03-24 |
| 1558524884 | Rebecca Woloszyn | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-07-07 |
| 1902064405 | Venessa Jean Parks | Counselor | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-05-30 |
| 1972790459 | Nelda Kay Lejeune | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-09-28 |
| 1760718605 | Teena Marie Sawicki | Social Worker | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2009-10-28 |
| 1659672699 | Margaret Elizabeth Hudson-collins | Psychiatry & Neurology | 3501 Hamtramck Dr, Detroit, MI 48211-1400 | 2010-11-08 |
| 1184932766 | John A. Lyle | Psychologist | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2010-09-17 |
| Find all providers in zip 48211 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075273 | Still Standing Inc | Voluntary or Charitable | 7310 Woodward Ave Ste 445, Detroit, MI 48202-3168 | 2018-12-27 |
| 1376026088 | Wrip Resource Center | Voluntary or Charitable | 11000 W Mcnichols Rd Ste 312, Detroit, MI 48221-2393 | 2018-09-09 |
| 1285018473 | The Mckinney Foundation, Inc. | Voluntary or Charitable | 350 Piper Blvd, Detroit, MI 48215-3038 | 2015-07-17 |
| 1902157092 | Anybody Can Foundation | Voluntary or Charitable | 19393 Marx St, Detroit, MI 48203-1337 | 2012-09-28 |
| 1275882623 | Mch Program | Voluntary or Charitable | 2567 Ashland St, Detroit, MI 48215-2501 | 2012-08-31 |
| 1831491422 | Greater Blessings Outreach Ministry Church | Voluntary or Charitable | 15508 Coyle St, Detroit, MI 48227-2600 | 2010-12-02 |
| 1063713261 | Dedicated To Helping Ministries Outreach Church | Voluntary or Charitable | 18641 Ryan Rd, Detroit, MI 48234-1938 | 2010-11-04 |
| 1598077612 | Blessed & Highly Favored Ministry Outreach Church | Voluntary or Charitable | 8060 Normile St, Detroit, MI 48204-8104 | 2010-07-06 |
| 1487965174 | Her Ministry Through His Greatness Ministry Outreach | Voluntary or Charitable | 8593 Littlefield St, Detroit, MI 48228-2530 | 2010-06-28 |
| 1801117858 | Curly Pam Freedom House Ministry Outreach Church | Voluntary or Charitable | 20501 Fenmore St, Detroit, MI 48235-2264 | 2010-06-14 |
| Find all providers in DETROIT | ||||
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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.