KENDRA HATHAWAY (NPI# 1962961771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962961771 |
| Entity Type | Individual |
| Full Name | KENDRA HATHAWAY |
| Credential | LLMFT, FLE |
| Practice Address |
1777 Axtell Dr Ste 107 Troy MI 48084-4400 |
| Mailing Address |
1777 Axtell Dr Ste 101 Troy MI 48084-4400 |
| Practice Telephone | 2487870855 |
| Mailing Telephone | 5865512757 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 4101006757 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1777 AXTELL DR STE 107 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245189 | Anne Linderman Crawford | Psychologist | 1777 Axtell Dr Ste 107, Troy, MI 48084-4400 | 2019-09-30 |
| 1487205787 | Ebony De-shonia Willis | Psychologist | 1777 Axtell Dr Ste 107, Troy, MI 48084-4400 | 2019-09-27 |
| 1457917940 | Shawna Rae Holiak | Counselor | 1777 Axtell Dr Ste 107, Troy, MI 48084-4400 | 2019-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598800 | Vanessa Bever | Marriage & Family Therapist | 406 Fulton St Ste 509, Troy, NY 12180-3359 | 2018-11-26 |
| 1760938641 | Christopher Ryan Mcdaniel | Marriage & Family Therapist | 1777 Axtell Dr Ste 101, Troy, MI 48084-4400 | 2016-08-30 |
| 1407139942 | Christopher Rawlings | Marriage & Family Therapist | 31733 South Fork Road, Troy, MT 59935 | 2011-09-21 |
| 1528368206 | Cynthia Ellen Holloway | Marriage & Family Therapist | 1178 Pond View Dr, Troy, OH 45373-7611 | 2010-10-27 |
| 1750925707 | Silvia Gisela Leija | Marriage & Family Therapist | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2019-11-03 |
| 1013566496 | Rachel Blanchette | Marriage & Family Therapist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2019-09-08 |
| 1235790817 | Birch Ryder Snogles | Marriage & Family Therapist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2019-06-25 |
| 1972069789 | John William Poliskey | Marriage & Family Therapist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2019-02-17 |
| 1679064984 | Jordan Tyler Dewitt | Marriage & Family Therapist | 227 N Main St, Troy, NC 27371-3058 | 2018-05-22 |
| 1023507969 | Megan Lynn Safford Nishibori | Marriage & Family Therapist | 850 Stephenson Hwy, Troy, MI 48083-1152 | 2018-05-07 |
| Find all providers in TROY | ||||
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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.