Goddess Great

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GODDESS GREAT

Practice address

17169 E Warren Ave
Detroit, MI 48224-2279

Phone

(313) 856-9192

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Kymaletha Brown, LLPCNPI 1407371529

Title

Coordinator

Phone

(269) 414-5907

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kymaletha Rochelle Brown

  • Professional Counselor
  • Detroit, MI
  • NPI 1407371529
  NPD Authorized official

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1104435460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10728 DUPREY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241295",
            "telephone_number": "269-414-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17169 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242279",
            "telephone_number": "313-856-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDESS GREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KYMALETHA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "269-414-5907",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• God'S Way Transportation
• God'S Way Transportation LLC
• Henri Godbold, M.D
• Kristine L Godbold, R.D.
• Manasi Manoj Godbole, MD
• Tyra Godfrey
• Ansab Godil, M.D.
• Clyde Kenneth Godin Jr.
• Kathryn A Goe
• Mishita Goel, M.D.

• Case Management Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.