SEDALIA ELLISON (NPI# 1568002764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568002764 |
| Entity Type | Individual |
| Full Name | SEDALIA ELLISON |
| Credential | BSW, CADC |
| Practice Address |
16647 Wyoming St Detroit MI 48221-2848 |
| Practice Telephone | 3133423606 |
| Practice Fax Number | 3138610413 |
| Mailing Telephone | 3133623606 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| 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) |
MI | Behavioral Health & Social Service Providers |
| Street Address |
16647 WYOMING ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477671170 | National Council On Alcoholism Drug Dependence | Public Health or Welfare | 16647 Wyoming St, Detroit, MI 48221-2848 | 2007-03-27 |
| 1932667979 | Brandi R Wasilewski | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2019-03-08 |
| 1942790605 | Leonard Verval Watkins I | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2018-05-17 |
| 1194215020 | Courtney Cherise Edge | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2018-05-16 |
| 1104316066 | Danielle Rose Swantek | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2018-05-16 |
| 1144768029 | Carl Mahanel Jr. | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2017-02-10 |
| 1457704504 | Sheldon Hill | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2016-07-13 |
| 1134573587 | Alima T Patterson | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2016-04-21 |
| 1396107785 | Julie Flores | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2016-03-24 |
| 1750761524 | Amarina Dawn Bergeron | Counselor | 16647 Wyoming St, Detroit, MI 48221-2848 | 2015-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| 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 |
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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.