GLYNN MERRIEWETHER


Address: 19321 W Chicago St, Detroit, MI 48228-1739
Phone: 5868466759

GLYNN MERRIEWETHER (NPI# 1922517838) 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) 1922517838
Entity Type Individual
Full Name GLYNN MERRIEWETHER
Practice Address 19321 W Chicago St
Detroit
MI 48228-1739
Mailing Address 24791 Parkside St Apt 206
Harrison Township
MI 48045-3614
Practice Telephone 5868466759
Enumeration Date 2017-09-22
Last Update Date 2017-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1336674415 05

Office Location

Street Address 19321 W CHICAGO ST
City DETROIT
State MI
Zip Code 48228-1739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336674415 Educating U4 Life Cdc Early Intervention Provider Agency 19321 W Chicago St, Detroit, MI 48228-1739 2017-04-26
1750851994 Better In Balance, LLC Social Worker 19321 W Chicago St, Detroit, MI 48228-1739 2018-11-30
1659884773 Delores Guye Social Worker 19321 W Chicago St, Detroit, MI 48228-1739 2017-11-11
1821507740 Maeola Brunson-dacus Social Worker 19321 W Chicago St, Detroit, MI 48228-1739 2017-09-22
1750890687 Yvonne Fannie West Social Worker 19321 W Chicago St, Detroit, MI 48228-1739 2017-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932737210 West Park Pharmacy LLC Pharmacy 16240 W Warren Ave, Detroit, MI 48228 2020-03-31
1316433329 4 Ur Recovery Therapy, LLC Clinic/Center 19201 Warren St, Detroit, MI 48228 2018-07-03
1003309063 Marquita Outlaw Registered Nurse 8290 Coyle St, Detroit, MI 48228 2018-06-13
1043746548 Am-pm Transportation Services LLC Private Vehicle 18640 Joy Road, Detroit, MI 48228 2017-05-04
1770023491 Goodcompany Aop Inc In Home Supportive Care 8946 Prest St, Detroit, MI 48228 2017-02-28
1881049260 Christine Jackson Social Worker 9115 Warwick, Detroit, MI 48228 2016-05-04
1790157774 Shakail Bronta Hill Adult Companion 7729 Clayburn, Detroit, MI 48228 2015-10-29
1275904583 Denarol Cunningham Contractor 7248 Vaughan, Detroit, MI 48228 2015-10-13
1023493210 Larry Foster Technician, Other 9334 Memorial, Detroit, MI 48228 2015-07-29
1093126872 Reza Hafezi Chiropractor 17600 W. Warren Ave., Detroit, MI 48228 2014-05-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457799 Next Level Counseling and Consulting, LLC Counselor 5231 Grayton St, Detroit, MI 48224-2149 2020-11-04
1669071585 Carraus Harden Counselor 13238 N Norfolk, Detroit, MI 48235-1026 2020-10-21
1386255032 Restore Me, LLC Counselor 17836 Chandler Park Dr, Detroit, MI 48224-1340 2020-08-14
1396374617 Venus D Amos Counselor 22725 Cambridge Ave, Detroit, MI 48219-1725 2020-04-07
1487280848 A Safe Place Counseling and Community Support Services L3c Counselor 20216 Albany St, Detroit, MI 48234-2505 2020-03-18
1689211088 Tracey Johnson Counselor 14010 Monica St Apt 23, Detroit, MI 48238-2565 2019-12-04
1790320331 Faith Hope & Love Outreach Center Inc Counselor 18284 James Couzens Fwy., Detroit, MI 48235-2503 2019-11-07
1518517606 Southwest Solutions Counselor 5716 Michigan, Detroit, MI 48210 2019-09-19
1942858550 Ronald Royce Cochran Counselor 2925 Russell St, Detroit, Detroit, MI 48207 2019-08-27
1497210744 Phoenix Interventions Pllc Counselor 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 2019-01-31
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Competitor

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City DETROIT
Zip Code 48228

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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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