Kim Logan Communications Clinic Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

L1118869 Issued in MI

Legal business name

KIM LOGAN COMMUNICATIONS CLINIC INC

Practice address

8313 Grand River Ave
Detroit, MI 48204-2231

Phone

(313) 898-8200

Fax

(313) 898-2232

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kim Janisse Logan, PH.D,SPL

Title

Ceo

Phone

(313) 898-8200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1134318066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042231",
            "telephone_number": "313-898-8200",
            "fax_number": "313-898-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042231",
            "telephone_number": "313-898-8200",
            "fax_number": "313-898-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LOGAN COMMUNICATIONS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "JANISSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-898-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D,SPL"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L1118869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Killian, PHD
• Eddie Lee Killing Jr.
• Sarah Raleigh Kilts
• Agnieszka Kiluk
• Kim Logan Communications Clinic Inc
• Austin Kim, MD
• Azalea Kim, M.D., M.P.A, M.B.A
• Brandon Jiwoo Kim
• Clara H Kim, DDS
• David Daewhan Kim, M.D.

• 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 Sep 29, 2010; 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.