SHARAE LACRASHA HILL


Address: 15920 Fenkell St, Detroit, MI 48227-1970
Phone: 3132202255

SHARAE LACRASHA HILL (NPI# 1962045245) 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) 1962045245
Entity Type Individual
Full Name SHARAE LACRASHA HILL
Practice Address 15920 Fenkell St
Detroit
MI 48227-1970
Mailing Address 4291 Wendell Rd
West Bloomfield
MI 48323-3266
Practice Telephone 3132202255
Mailing Telephone 3132202255
Enumeration Date 2019-10-19
Last Update Date 2019-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
Behavioral Health & Social Service Providers

Office Location

Street Address 15920 FENKELL ST
City DETROIT
State MI
Zip Code 48227-1970

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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1528043544 Hope Network - Rehabilitation Services Psychologist 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 2005-12-13
1881203834 Teevia C Brown Psychologist 420 W 5th Ave, Flint, MI 48503-2445 2020-07-27
1295070027 Richard Alan Tackett Psychologist 273 Marshall St, Coldwater, MI 49036-1142 2012-12-05
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Competitor

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City DETROIT
Zip Code 48227

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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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