Harvest Center for Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HARVEST CENTER FOR WELLNESS LLC

Practice address

4330 W Davison
Detroit, MI 48238-3273

Phone

(248) 298-9215

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mellanie KnoxNPI 1609207042

Title

Chief Executive Officer

Phone

(248) 298-9215

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mellanie Knox

  • Professional Counselor
  • Norton Shores, MI
  • NPI 1609207042
  Medicare reassignment Care Compare group NPD Authorized official
• Alfonzo Smith

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1407274848

  Professional

  Medicare reassignment Care Compare group NPD
• Rita Turner, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1780152975
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1093577678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383273",
            "telephone_number": "248-298-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W DAVISON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383273",
            "telephone_number": "248-298-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "MELLANIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-298-9215"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Hartman, PA-C
• Michelle Hartman, MSW
• Krista Lauren Hartmann, MD
• Janice Dolores Hartsfield, LLMSW
• Earl Robert Hartwig, MD
• Harvest Retreat Drop-in Center
• Harvesting Hope, LLC
• Harvesting Love & Hope, LLC
• Harvey Colbert DDS PC (Rainbow Dental Center II)
• Ebony Harvey-Jackson, LMSW

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.