MRS. FLOANNA BLACK (NPI# 1447600549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447600549 |
| Entity Type | Individual |
| Full Name | MRS. FLOANNA BLACK |
| Credential | MA, TLLP |
| Practice Address |
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1800 |
| Mailing Address |
10601 Mount Vernon St Apt 202 Taylor MI 48180-6910 |
| Practice Telephone | 3139263567 |
| Practice Fax Number | 7345445100 |
| Mailing Telephone | 3139263567 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301017194 | MI | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16026 Weddel St, Taylor, MI 48180 | 3139263567 |
| Street Address |
3200 GREENFIELD RD STE 300 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48120-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295781730 | Christina Eva Repay | Social Worker | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2006-05-26 |
| 1053919233 | Myron Hendricks | Home Health Aide | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-10-11 |
| 1083234116 | Rt Johnson Homecare Inc. | Home Health | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-04-18 |
| 1265067821 | Clay Counseling and Consulting LLC | Counselor | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-03-04 |
| 1003448663 | B & B Senior Services of Mi LLC | Chore Provider | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-02-11 |
| 1750911087 | Nicole C Clay | Counselor | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 | 2020-01-26 |
| 1700427242 | Destiny Johnson | Behavior Technician | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-10-07 |
| 1386299063 | Joshua D Courter | Behavior Technician | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-08-08 |
| 1154984037 | Major Counseling and Case Management Family Services LLC | Marriage & Family Therapist | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-04-17 |
| 1326502527 | Vanida Xiong | Behavioral Analyst | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1518369412 | Raed Haddad Md, Pllc | Internal Medicine | 9720 Dix Ste B, Dearborn, MI 48120 | 2014-09-23 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1023314341 | Dearborn Internist P.C. | Internal Medicine | 10066 Dix Ave, Suite 100, Dearborn, MI 48120 | 2011-02-03 |
| 1003027897 | Hooverrx | Pharmacist | 1363 Salina St, Dearborn, MI 48120 | 2007-05-24 |
| 1154415776 | Metro Home Health Care Plans, Inc. | Home Health | 15350 Commerce Dr. N, Ste. 200, Dearborn, MI 48120 | 2006-10-03 |
| 1356382303 | Nashereen Tootla | Physical Therapist | 10066 Dix Rd, Deaborn, MI 48120 | 2006-06-09 |
| 1225479421 | Tiffany Ann Murray | Social Worker | 15350 N Commerce Dr, Dearborn, MI 48120 | 2013-07-16 |
| 1114268562 | Frank Quinones | Social Worker | 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 | 2013-03-11 |
| 1265644009 | Raffic A Mackie | Dentist | 9925 Dix, Suite 101, Dearborn, MI 48120 | 2007-05-04 |
| Find all providers in zip 48120 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575762 | Authenticity Psychological Services | Psychologist | 24314 Cherry Hill St, Dearborn, MI 48124-1358 | 2020-07-13 |
| 1144798216 | Janelle A Smith | Psychologist | 2881 Monroe St # 201, Dearborn, MI 48124-3475 | 2018-11-07 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1851696488 | Ellen Louise Keyt | Psychologist | Counseling & Resource Center of Dearborn, 19855 W. Outer Drive, Dearborn, MI 48124 | 2011-01-12 |
| 1649574526 | Tiffany Zlatich Tuttle | Psychologist | 19855 West Outer Dr Ste 104w, Dearborn, MI 48124-2022 | 2011-01-06 |
| 1689984213 | Justin Wayne Peer | Psychologist | 1 Parklane Blvd Ste 1210e, Dearborn, MI 48126-4283 | 2010-10-17 |
| 1952637126 | Melissa Marie Farrell | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126 | 2009-10-23 |
| 1558594283 | George Psychological Services PC | Psychologist | 2314 Monroe, Dearborn, MI 48124-3045 | 2009-08-28 |
| 1063663714 | Maritaconstance Supan | Psychologist | 934 Mason St, Dearborn, MI 48124-2215 | 2008-09-30 |
| 1588710222 | Manuel Alexander Manrique | Psychologist | 22967 Outer Dr, Dearborn, MI 48124-4248 | 2007-01-26 |
| Find all providers in DEARBORN | ||||
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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.