Kim Janisse Logan in Detroit - Mental Health
Kim Janisse Logan - NPI 1841470556
Kim Janisse Logan is a Mental Health in Detroit, Michigan. Kim Janisse Logan practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kim Janisse Logan is 1841470556. The last update date is 2015-04-14.
Kim Janisse Logan's current location address is 3011 W. Grand Blvd., Detroit, Michigan. You can contact this provider via phone number 3136644900 and fax number 3136644901. The mailing address for Kim Janisse Logan is 3011 W. Grand Blvd., Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Janisse Logan |
|---|---|
| Address | 3011 W. Grand Blvd., Detroit, Michigan |
| Phone Number | 3136644900 |
| Fax Number | 3136644901 |
| Sole Proprietor | N |
| Credentials | PH.D.,LPC, |
NPI Number Detail
| NPI Number | 1841470556 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2015-04-14 |
Provider Mailing Address Detail
| Address | 3011 W. Grand Blvd. |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482023011 |
| Phone Number | 3136644900 |
| Fax Number | 3136644901 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | L2437318 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Kim Janisse Logan by the Centers for Medicare & Medicaid Services?
The Kim Janisse Logan has been issued the NPI (National Provider Identifier) 1841470556, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kim Janisse Logan is located?
The Kim Janisse Logan is situated at the following address: 3011 W. Grand Blvd., Detroit, MI, 482023011.
What is the Kim Janisse Logan's area of specialization and corresponding taxonomy classification?
The Kim Janisse Logan's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1841470556 to Kim Janisse Logan?
The Centers for Medicare & Medicaid Services assigned the 1841470556 to Kim Janisse Logan on 2007-11-09.
As of what date were the details related to Kim Janisse Logan most recently updated or revised?
The information pertaining to Kim Janisse Logan, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-14.