MRS. AMBROSIA NOTTAGE-JACKSON (NPI# 1457616609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457616609 |
| Entity Type | Individual |
| Full Name | MRS. AMBROSIA NOTTAGE-JACKSON |
| Credential | LPC,CRC |
| Practice Address |
22550 Hall Rd Clinton Township MI 48036-1189 |
| Mailing Address |
22550 Hall Rd Clinton Twp MI 48036-1189 |
| Practice Telephone | 3135503433 |
| Mailing Telephone | 5868503011 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2013-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401012758 | MI | Behavioral Health & Social Service Providers |
| Street Address |
22550 HALL RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497789796 | Stephanie Emma Lange | Social Worker | 22550 Hall Rd, Clinton Township, MI 48036-1189 | 2006-07-10 |
| 1144598616 | Gina Rose Hilgendorf | Psychologist | 22550 Hall Rd, Clinton Township, MI 48036-1189 | 2011-12-12 |
| 1245523026 | Mary Catherine Aumann | Counselor | 22550 Hall Rd, Clinton Township, MI 48036-1189 | 2011-05-26 |
| 1568598977 | Heather A Hoonhout | Social Worker | 22550 Hall Rd, Clinton Township, MI 48036-1189 | 2007-02-27 |
| 1285773739 | Mary-anne Angeline Polan | Contractor | 22550 Hall Rd, Clinton Township, MI 48036-1189 | 2007-02-05 |
| 1033216197 | Norma Castro Josef | Psychiatry & Neurology | 22550 Hall Rd, Clinton Township, MI 48036-1189 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179368 | Carmen L Williams | Counselor | 22600 Hall Rd Ste 201, Clinton Township, MI 48036-1173 | 2019-11-23 |
| 1790247716 | Brave Soul Counseling Pllc | Counselor | 43171 Dalcoma Dr Ste 3b, Clinton Township, MI 48038-6307 | 2019-04-01 |
| 1134684061 | Out of Mind,llc | Counselor | 39200 Garfield Rd Ste C, Clinton Township, MI 48038-4095 | 2019-02-05 |
| 1881166858 | Sarah Ann Guzzardo | Counselor | 42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143 | 2019-01-01 |
| 1528581808 | Julia E Mcgowen-bienkowski | Counselor | 35047 Willis St, Clinton Township, MI 48035-2886 | 2017-07-19 |
| 1376090902 | Allison Nicole Woodfield | Counselor | 42590 Stepnitz Dr, Clinton Township, MI 48036-3161 | 2016-09-01 |
| 1801269741 | Victoria Lynn Bentley | Counselor | 17064 Penrod Dr, Clinton Township, MI 48035-1235 | 2015-10-31 |
| 1740530773 | Katie Alyssa Chennault | Counselor | 43121 Brooks Dr, Clinton Township, MI 48038-5321 | 2012-09-18 |
| 1356614051 | Jessica R Couch | Counselor | 42815 Garfield Rd, Suite 210, Clinton Township, MI 48038-1143 | 2012-02-12 |
| 1346536729 | Jennifer Harvey | Counselor | 22800 Hall Rd, Suite 240, Clinton Township, MI 48036-4804 | 2011-06-23 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on MRS. AMBROSIA NOTTAGE-JACKSON.
| 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.