GENEVIEVE DOUGLAS


Address: 4646 John R St, Detroit, MI 48201-1916
Phone: 3135764924

GENEVIEVE DOUGLAS (NPI# 1518332105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518332105
Entity Type Individual
Full Name GENEVIEVE DOUGLAS
Practice Address 4646 John R St
Detroit
MI 48201-1916
Practice Telephone 3135764924
Practice Fax Number 3135761074
Mailing Telephone 3135764924
Mailing Fax Number 3135761074
Enumeration Date 2015-12-08
Last Update Date 2015-12-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health 		MI Behavioral Health & Social Service Providers

Office Location

Street Address 4646 JOHN R ST
City DETROIT
State MI
Zip Code 48201-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344121 Christopher Emil Hermann Nurse Practitioner 4646 John R St, Detroit, MI 48201-1916 2005-05-24
1881293892 Derrick Williams Registered Nurse 4646 John R St, Detroit, MI 48201-1916 2020-10-21
1598371544 Sonia Govil Dietitian, Registered 4646 John R St, Detroit, MI 48201-1916 2020-09-16
1740893569 Nicholas Edward Peters Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-08-31
1710597455 Amber Michelle Young Social Worker 4646 John R St, Detroit, MI 48201-1916 2020-08-07
1104434471 Zeinab H Moussa Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-22
1235747346 Samantha Beth Lewis Psychologist 4646 John R St, Detroit, MI 48201-1916 2020-07-15
1477171189 Rima Mohammad Fardos Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-09
1992323869 Sarah F Waqhar Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-08
1619594181 Mellisa Ann Boyle Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457799 Next Level Counseling and Consulting, LLC Counselor 5231 Grayton St, Detroit, MI 48224-2149 2020-11-04
1669071585 Carraus Harden Counselor 13238 N Norfolk, Detroit, MI 48235-1026 2020-10-21
1386255032 Restore Me, LLC Counselor 17836 Chandler Park Dr, Detroit, MI 48224-1340 2020-08-14
1396374617 Venus D Amos Counselor 22725 Cambridge Ave, Detroit, MI 48219-1725 2020-04-07
1487280848 A Safe Place Counseling and Community Support Services L3c Counselor 20216 Albany St, Detroit, MI 48234-2505 2020-03-18
1689211088 Tracey Johnson Counselor 14010 Monica St Apt 23, Detroit, MI 48238-2565 2019-12-04
1790320331 Faith Hope & Love Outreach Center Inc Counselor 18284 James Couzens Fwy., Detroit, MI 48235-2503 2019-11-07
1518517606 Southwest Solutions Counselor 5716 Michigan, Detroit, MI 48210 2019-09-19
1942858550 Ronald Royce Cochran Counselor 2925 Russell St, Detroit, Detroit, MI 48207 2019-08-27
1497210744 Phoenix Interventions Pllc Counselor 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 2019-01-31
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Competitor

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City DETROIT
Zip Code 48201

Improve Information

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Dataset Information

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.

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