MRS. GLORIA JEAN KILDOW (NPI# 1851316509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851316509 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA JEAN KILDOW |
| Credential | M.A., L.L.P., L.L.P. |
| Practice Address |
6770 Dixie Hwy Suite 312 Clarkston MI 48346-2087 |
| Mailing Address |
6770 Dixie Hwy. Suite 312 Clarkston MI 48346 |
| Practice Telephone | 2489222300 |
| Practice Fax Number | 2489222304 |
| Mailing Telephone | 2489222300 |
| Mailing Fax Number | 2489222304 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
6401005666 | MI | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
6301009407 | MI | Behavioral Health & Social Service Providers |
| Street Address |
6770 DIXIE HWY SUITE 312 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-2087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467405 | Metro Rehabilitation Services Inc | Clinic/Center | 6770 Dixie Hwy, Ste 104, Clarkston, MI 48346-2088 | 2005-06-16 |
| 1134595143 | Michigan Healthcare Professionals, P.C. | Durable Medical Equipment & Medical Supplies | 6770 Dixie Hwy, Suite 106a, Clarkston, MI 48346-5100 | 2015-08-13 |
| 1992086680 | Comprehensive Family Healthcare Pllc | Clinic/Center | 6770 Dixie Hwy, Ste 202, Clarkston, MI 48346-2087 | 2011-09-08 |
| 1295900975 | Ala E. Imam, M.d., P.C. | Internal Medicine | 6770 Dixie Hwy, Suite 301, Clarkston, MI 48346-2087 | 2008-04-24 |
| 1215102116 | B. G. Patel, M.d. Plc | Family Medicine | 6770 Dixie Hwy, Ste 303, Clarkston, MI 48346-2087 | 2008-04-23 |
| 1518136738 | Comprehensive Family Healthcare, Pllc | Family Medicine | 6770 Dixie Hwy, Suite 202, Clarkston, MI 48346-2098 | 2008-02-21 |
| 1588832760 | Pine Knob Pharmacy #3 | Durable Medical Equipment & Medical Supplies | 6770 Dixie Hwy, Clarkston, MI 48346-2087 | 2008-02-11 |
| 1053512111 | Richard S Schwartz M D Dermatology P C | Dermatology | 6770 Dixie Hwy, Suite 304, Clarkston, MI 48346-2087 | 2007-05-29 |
| 1407987449 | Downriver Mental Health Clinic | Clinic/Center | 6770 Dixie Hwy, Suite 312, Clarkston, MI 48346-2087 | 2007-03-09 |
| 1053460311 | Allison Eye Care Inc | Optometrist | 6770 Dixie Hwy, Suite 203, Clarkston, MI 48346 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1558978528 | David Sperry | Counselor | 1303 Poplar St, Clarkston, WA 99403-2345 | 2020-09-24 |
| 1457978322 | Patrick Marcoux | Counselor | 39 S Main St Ste 2, Clarkston, MI 48346-1590 | 2020-06-26 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| 1821387432 | Diane Baker | Counselor | 5395 Taylor Ln, Clarkston, MI 48346-1746 | 2011-04-04 |
| 1992932826 | Tiffany Cheryl Taylor | Counselor | 1057 Echo Woods Ct, Clarkston, GA 30021-2703 | 2009-06-18 |
| 1558502807 | Mark C Mckarcher | Counselor | 744 5th St, Suite D, Clarkston, WA 99403-2670 | 2009-03-17 |
| 1740434471 | John David Canine | Counselor | 936 S Baldwin Rd, 102, Clarkston, MI 48348-3695 | 2008-11-07 |
| 1780802835 | Judith A Cox-wentz | Counselor | 6887 Dixie Hwy Ste A, Clarkston, MI 48346-5107 | 2007-04-23 |
| Find all providers in CLARKSTON | ||||
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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.