MISS TAHLIA WILSON (NPI# 1831508415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831508415 |
| Entity Type | Individual |
| Full Name | MISS TAHLIA WILSON |
| Practice Address |
12501 Hamilton Ave Highland Park MI 48203-3243 |
| Practice Telephone | 3138651580 |
| Mailing Telephone | 3138651580 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 4703105833 | MI | Residential Treatment Facilities |
| Street Address |
12501 HAMILTON AVE |
| City | HIGHLAND PARK |
| State | MI |
| Zip Code | 48203-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912062068 | Rainbow Center of Michigan Inc | Pharmacy | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2006-12-27 |
| 1386243145 | Carnita Brown | Licensed Practical Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2020-10-22 |
| 1427664937 | Armonique Threatt | Counselor | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2020-09-21 |
| 1558971663 | Arica Tanie Casteel | Licensed Practical Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2020-08-04 |
| 1396370441 | Mia Abner | Licensed Practical Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2020-03-10 |
| 1831724079 | Donald R Simmons | Licensed Practical Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2020-03-09 |
| 1801438932 | Ciera N Jones | Counselor | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2019-10-10 |
| 1861043309 | Shavonne Craigead | Registered Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2019-09-26 |
| 1548819642 | Deborah Denise Coleman I | Licensed Practical Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2019-09-11 |
| 1740839943 | Jordan Marie Brown | Licensed Practical Nurse | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750833166 | Visions House | Substance Abuse Rehabilitation Facility | 182 Farrand Park, Highland Park, MI 48203-3354 | 2016-11-02 |
| 1023225539 | Elmhurst Home, Inc | Substance Abuse Rehabilitation Facility | 1981 W Mcnichols Rd, Highland Park, MI 48203-4204 | 2007-05-16 |
| 1740313238 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 13220 Woodward Ave, Highland Park, MI 48203-3610 | 2007-03-13 |
| 1174919211 | Rainbow | Substance Abuse Rehabilitation Facility | 12501 Hamilton Ave, Highland Park, MI 48203-3243 | 2015-04-15 |
| 1043604994 | Olivia Mensah | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2015-03-27 |
| 1598167686 | Naomi's Nest | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-19 |
| 1083016356 | Elmhurst | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-18 |
| 1700287612 | Naomi Nest | Substance Abuse Rehabilitation Facility | 245 Pitkin St, Highland Park, MI 48203-3737 | 2014-09-10 |
| 1437448818 | Christian Guidance Center | Substance Abuse Rehabilitation Facility | 91 Glendale St, Highland Park, MI 48203-3274 | 2011-04-06 |
| 1134389422 | Detroit Recovery Project | Substance Abuse Rehabilitation Facility | 211 Glendale St, Highland Park, MI 48203-3231 | 2008-06-11 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 48203 |
Please comment or provide details below to improve the information on MISS TAHLIA WILSON.
| 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.