Ayhanna Latoya Dennis, B.S. CJA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI 1144507682 · NPPES record last updated Nov 11, 2011

Key facts

NPI
1144507682
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
9600 Dexter Ave
Detroit, MI 48206-1816
Phone
(313) 894-4879
Fax
(313) 894-6312
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14960/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MI Yes

Addresses

Primary practice location

9600 Dexter Ave
Detroit, MI 48206-1816

Mailing address

9600 Dexter Ave
Detroit, MI 48206-1816
Phone (313) 894-4879

Other providers in Detroit, MI

All providers in Detroit, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.