Manna of Detroit

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

822416 Issued in MI

Legal business name

MANNA OF DETROIT

Practice address

8501 Woodward Ave
Detroit, MI 48202-2236

Phone

(313) 872-3639

Fax

(313) 872-3639

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Chiles Thomas, MA CACII SWT

Title

Executive Dir.

Phone

(313) 334-9375

Specialties & licenses 1

Addresses

Tax ID family

Manna of Detroit2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manna of Detroit Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
  • NPI 1629050471
  NPD tax ID

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215092390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20696",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482200696",
            "telephone_number": "313-872-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022236",
            "telephone_number": "313-872-3639",
            "fax_number": "313-872-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "CHILES",
        "authorized_official_title_or_position": "EXECUTIVE DIR.",
        "authorized_official_telephone_number": "313-334-9375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CACII SWT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "822416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Marie Mann, RD
• Kelly Ann Mann, MSN, FNP-BC, CDE
• Lashawn Patrice Mann
• William Mann
• Yasmeen Kaur Mann
• Manna of Detroit Inc.
• Ali Hassan Mannaa, MD
• Vijay Krishna Manne, M.D.
• Nitya Manney
• Ramya Manney, M.D.

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.