LISA BRUNK (NPI# 1427334911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427334911 |
| Entity Type | Individual |
| Full Name | LISA BRUNK |
| Credential | B.S., CADC |
| Practice Address |
4880 Lawndale St Detroit MI 48210-2010 |
| Practice Telephone | 3138466030 |
| Mailing Telephone | 3138466030 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1-04073 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4880 LAWNDALE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790071 | Josette Marie French | Family Medicine | 4880 Lawndale St, Detroit, MI 48210-2010 | 2006-02-22 |
| 1891330767 | Ruth Meyers | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-11-14 |
| 1699248724 | Laura Diane Sorrells | Case Manager/Care Coordinator | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-11 |
| 1942774054 | Michael Timothy Carroll | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-11 |
| 1598238677 | Michael Luis Meza | Counselor | 4880 Lawndale St, Detroit, MI 48210-2010 | 2019-01-10 |
| 1114400256 | Leslie Marie Theisen | Nurse Practitioner | 4880 Lawndale St, Detroit, MI 48210-2010 | 2018-09-14 |
| 1881108405 | Christopher Neil Biek | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2017-11-17 |
| 1033631775 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndale St, Detroit, MI 48210-2010 | 2017-07-14 |
| 1972955490 | Eric Leon Wilkins | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2016-07-08 |
| 1326404120 | Amy Runkle | Social Worker | 4880 Lawndale St, Detroit, MI 48210-2010 | 2016-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| Find all providers in zip 48210 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
| 1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
| 1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
| 1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
| 1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
| 1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
| 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.