Active NPI
MDS Devine Counseling Services
- Community/Behavioral Health Agency
- Southfield, MI
National Provider Identifier
1154861367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801059552
- Legal business name
- MDS DEVINE COUNSELING SERVICES
- Practice address
- 17336 W 12 Mile Rd
103
Southfield, MI 48076-2113 - Phone
- (248) 796-1217
- NPI assigned
- Mar 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Denise Sanders, LCSW, LMSW
- Title
- Clinical Social Worker/ Proprietor
- Phone
- (248) 796-1217
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801059552 | MI | Primary |
Addresses
Primary practice location
17336 W 12 Mile Rd
103
Southfield, MI 48076-2113
Mailing address
9560 Lenore
Redford, MI 48239-1664
Phone (248) 796-1217
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Southfield, MI
- NPI 1659385755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1154861367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9560 LENORE",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391664",
"telephone_number": "248-796-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17336 W 12 MILE RD",
"address_2": "103",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762113",
"telephone_number": "248-796-1217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDS DEVINE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/ PROPRIETOR",
"authorized_official_telephone_number": "248-796-1217",
"authorized_official_credential": "LCSW, LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801059552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.