COUNSELING AND DIVORCE MEDIATION SERVICES, LLC (NPI# 1942726195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942726195 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND DIVORCE MEDIATION SERVICES, LLC |
| Practice Address |
17937 Hall Rd Macomb MI 48044-4557 |
| Mailing Address |
43762 Holmes Dr Sterling Heights MI 48314-1879 |
| Practice Telephone | 5867073331 |
| Mailing Telephone | 2487097115 |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2017-08-19 |
| Authorized Official Name | FARRAH DABABNEH (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2487097115 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
17937 HALL RD |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851537005 | Elizabeth Anne Tribble | Counselor | 17937 Hall Rd, Macomb, MI 48044 | 2008-12-17 |
| 1952835985 | Anna M. Hickey, Inc. | Counselor | 17937 Hall Rd, Macomb, MI 48044-4557 | 2017-04-17 |
| 1487010120 | Colleen Marie Lambert | Counselor | 17937 Hall Rd, Macomb, MI 48044-4557 | 2016-01-11 |
| 1609281633 | Heather Ashley | Counselor | 17937 Hall Rd, Macomb, MI 48044-4557 | 2014-06-28 |
| 1053731067 | Anna Hickey | Counselor | 17937 Hall Rd, Macomb, MI 48044-4557 | 2014-04-17 |
| 1689096927 | Mindful Matters Counseling Center Pllc | Counselor | 17937 Hall Rd, Macomb, MI 48044-4557 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497135453 | Macomb Counseling Services, LLC | Clinic/Center | 21400 Dogleg Dr, Macomb, MI 48042-4326 | 2015-06-04 |
| 1326168733 | North Central Behavioral Health Systems Inc. | Clinic/Center | 301 E Jefferson St, Macomb, IL 61455-2312 | 2007-03-30 |
| 1407976202 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 301 E Jefferson St, Macomb, IL 61455-2312 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637267 | Thompson Counseling & Consulting LLC | Clinic/Center | 36500 Ford Rd Ste 329, Westland, MI 48185-3769 | 2020-10-21 |
| 1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
| 1871100602 | Sbh Ventures LLC | Clinic/Center | 700 Golfcrest Dr, Dearborn, MI 48124-1121 | 2020-09-25 |
| 1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
| 1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.