Organization Active NPI

Everwell Behavioral Health PLLC

  • Developmental Disabilities Clinic/Center
  • Dearborn, MI
National Provider Identifier
1154214831
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
EVERWELL BEHAVIORAL HEALTH PLLC
Practice address
20520 Audette St
Dearborn, MI 48124-3908
Phone
(313) 820-0534
NPI assigned
May 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Lamese Bazzi-DaoudNPI 1952766107
Title
President/Ceo
Phone
(313) 820-0534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

20520 Audette St
Dearborn, MI 48124-3908

Mailing address

20520 Audette St
Dearborn, MI 48124-3908
Phone (313) 820-0534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1154214831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20520 AUDETTE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243908",
            "telephone_number": "313-820-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20520 AUDETTE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243908",
            "telephone_number": "313-820-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "BAZZI-DAOUD",
        "authorized_official_first_name": "LAMESE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-820-0534"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.