CARLOS T LEAGUE


Address: 445 Ledyard St, Detroit, MI 48201-2641
Phone: 3139629446

CARLOS T LEAGUE (NPI# 1578818837) 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) 1578818837
Entity Type Individual
Full Name CARLOS T LEAGUE
Practice Address 445 Ledyard St
Detroit
MI 48201-2641
Practice Telephone 3139629446
Practice Fax Number 3139626395
Mailing Telephone 3139629446
Mailing Fax Number 3139626395
Enumeration Date 2012-07-23
Last Update Date 2012-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder) 		DEVELOPMENTPLAN MI Behavioral Health & Social Service Providers

Office Location

Street Address 445 LEDYARD ST
City DETROIT
State MI
Zip Code 48201-2641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558485466 Mariners Inn Community Based Residential Treatment Facility, Mental Illness 445 Ledyard St, Detroit, MI 48201-2641 2007-03-17
1457969198 Stefanie Alston Counselor 445 Ledyard St, Detroit, MI 48201 2020-07-20
1851919674 Valencia Ann Frank Community Health Worker 445 Ledyard St, Detroit, MI 48201 2020-07-08
1508484510 Edward A Gardin Community Health Worker 445 Ledyard St, Detroit, MI 48201 2020-07-07
1609422617 Ashley Volkman Specialist 445 Ledyard St, Detroit, MI 48201-2641 2019-08-15
1427534536 Ariel Joy Farley Social Worker 445 Ledyard St, Detroit, MI 48201-2641 2018-07-12
1265946271 Christina Shamily Specialist 445 Ledyard St, Detroit, MI 48201-2641 2017-11-29
1629582770 Portia Hardrick-brown Specialist 445 Ledyard St, Detroit, MI 48201-2641 2017-11-28
1760919401 Larry Dean Gudith Peer Specialist 445 Ledyard St, Detroit, MI 48201-2641 2017-05-12
1922534023 Dorothy Vukmirovich Substance Abuse Rehabilitation Facility 445 Ledyard St, Detroit, MI 48201-2641 2017-05-10
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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 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City DETROIT
Zip Code 48201

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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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