GWENDOLYN WARREN (NPI# 1700916665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700916665 |
| Entity Type | Individual |
| Full Name | GWENDOLYN WARREN |
| Practice Address |
25639 Ford Rd Dearborn Heights MI 48127-4817 |
| Mailing Address |
8255 Manor St Detroit MI 48204-3024 |
| Practice Telephone | 3132773293 |
| Practice Fax Number | 3135322773 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| 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) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1740714781 | Gwendolyn Warren | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535 | 2017-04-17 |
| 1861591950 | Gwendolyn Warren | Nurse Practitioner | 16105 Manchester Rd, Ellisville, MO 63011-2001 | 2006-09-22 |
| Street Address |
25639 FORD RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033250717 | Duane Sharpe | Social Worker | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-02-08 |
| 1952946162 | Deidra Michele Scott | Licensed Practical Nurse | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2019-11-12 |
| 1003389081 | Harpreet Kaur Grewal | Nurse Practitioner | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2019-01-02 |
| 1043507502 | Premier Services of Michigan, LLC | Community/Behavioral Health | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2011-07-06 |
| 1215257415 | Premier Services of Michigan, LLC | Community/Behavioral Health | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2010-06-10 |
| 1194858829 | Robert Beaser | Counselor | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-03-13 |
| 1891836599 | Grace Mallett | Social Worker | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104484468 | Brittany Harris | Counselor | 7430 N Inkster Rd, Dearborn Heights, MI 48127-1668 | 2019-06-03 |
| 1710451117 | Hype Athletics Community Inc. | Counselor | 23302 W Warren St, Dearborn Heights, MI 48127-2493 | 2019-01-18 |
| 1952804056 | Victoria Reed | Counselor | 20455 Powers Ave, Dearborn Heights, MI 48125-3045 | 2018-03-14 |
| 1033485370 | Kendra Michelle Thorington-fox | Counselor | 24500 Ford Rd Ste 3, Dearborn Heights, MI 48127-3145 | 2012-03-30 |
| 1063869493 | Diverse Resolutions | Counselor | 24500 Ford Rd Ste 3, Dearborn Heights, MI 48127-3145 | 2016-05-16 |
| 1194858829 | Robert Beaser | Counselor | 25639 Ford Rd, Dearborn Heights, MI 48127-4817 | 2007-03-13 |
| 1578693990 | Kendra Brown-doneth | Counselor | 20651 W Warren St, Myriam House, Dearborn Heights, MI 48127-2622 | 2007-03-06 |
| 1336279777 | Monique Finnister | Counselor | 20651 W Warren St, Dearborn Heights, MI 48127-2622 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434669 | Great-lakes Restorative Counseling, LLC | Counselor | 11800 Merriman Rd Unit 510896, Livonia, MI 48151-2075 | 2020-10-16 |
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1891302717 | Paige J Welch | Counselor | 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 | 2020-09-24 |
| 1588277040 | Gregory Dean Retzlaff | Counselor | 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 | 2020-08-25 |
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1164030136 | Amina Mcclendon | Counselor | 22190 Avon Rd, Oak Park, MI 48237-2572 | 2020-07-16 |
| 1134747835 | Janita E Deal | Counselor | 503 Pearl St Ste 7, Ypsilanti, MI 48197-2615 | 2020-07-09 |
| 1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1043833643 | Ralph Cunningham | Counselor | 16057 Blue Star M Hwy, South Haven, MI 49090-9470 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
Please comment or provide details below to improve the information on GWENDOLYN WARREN.
| 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.