MS. DENISE FANNY BANYAI (NPI# 1821337635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821337635 |
Entity Type | Individual |
Full Name | MS. DENISE FANNY BANYAI |
Other Name | DENISE FANNY BARTLEY |
Credential | LLPC |
Practice Address |
3604 Clarkston Rd Suite 102 Clarkston MI 48348-5215 |
Mailing Address |
1718 Sycamore Ave Royal Oak MI 48073-3976 |
Practice Telephone | 8006931916 |
Mailing Telephone | 2484216669 |
Enumeration Date | 2013-02-14 |
Last Update Date | 2013-02-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401013423 | MI | Behavioral Health & Social Service Providers |
Street Address |
3604 CLARKSTON RD SUITE 102 |
City | CLARKSTON |
State | MI |
Zip Code | 48348-5215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548569049 | Adam R Pasciak | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2011-03-23 |
1699380469 | Deanna Martens | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2020-09-09 |
1699251769 | Allen Shamow | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2018-07-12 |
1083125017 | Elizabeth Therese Kreager | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-10-17 |
1851826879 | Maria E Summerford | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-04-27 |
1841672987 | Karyn Skiba | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348 | 2015-06-25 |
1255759486 | Lake Orion Counseling Center | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2014-04-04 |
1184045676 | Tiffany Marie Laporte | Student in an Organized Health Care Education/Training Program | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-12-30 |
1225465396 | Life Skills Rehabilitation | Occupational Therapist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2013-10-03 |
1801161286 | Kristen Kay Bernat | Counselor | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2012-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
Find all providers in zip 48348 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285110288 | Abigail Blackshire | Counselor | 4850 Fox Crk E Apt 57, Clarkston, MI 48346-4924 | 2018-07-13 |
1427589092 | Tisha Hadaway | Counselor | 4002 E Ponce De Leon Ave, Clarkston, GA 30021-1815 | 2017-03-24 |
1649644253 | Doris Eva Mae Ward | Counselor | 5701 Bow Pointe Dr Ste 315, Clarkston, MI 48346-5402 | 2015-11-19 |
1164811980 | Huei-chen Cheng | Counselor | 6810 Brannon Hill Rd, Clarkston, GA 30021-3287 | 2015-01-16 |
1679972392 | Mariya Anatolyevna Zhitkov | Counselor | 7119 Oak Ridge Ct, Clarkston, MI 48346-1991 | 2014-08-19 |
1952671281 | Charles Ray Young | Counselor | 5840 Lorac Dr, Suite 3c, Clarkston, MI 48346-2915 | 2012-01-03 |
1083946248 | Jonathan Bruce Richey | Counselor | 6588 Northview Dr, Clarkston, MI 48346-1528 | 2010-02-12 |
1588857825 | Rebecca Jo Anastasi | Counselor | 10513 Wedgewood Dr, Clarkston, MI 48348-2065 | 2007-08-21 |
1679623185 | Veronica Smith | Counselor | 957 Texel Ln, Suite B, Clarkston, GA 30021-2736 | 2007-01-10 |
1801974217 | Sara Alice Fellows | Counselor | 3604 Clarkston Rd. Lake Orion Counseling Center, 3604 Clarkston Rd., Clarkston, MI 48316 | 2006-11-02 |
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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.