Alicia Bonahoom, MA, LLP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

6301011059 Issued in MI

Practice address

202 Lakeview Ave
Grosse Pointe Farms, MI 48236-2907

Phone

(313) 909-2363

NPI assigned

Dec 16, 2013

Last updated

Dec 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1245651389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N OLD WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093855",
            "telephone_number": "313-909-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAKEVIEW AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482362907",
            "telephone_number": "313-909-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAHOOM",
        "first_name": "ALICIA",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6301011059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Belt
• Maureen G Beversdorf, CPHT.
• Robert Neal Bishai, D.D.S.
• Sherry Bloodworth, FNP-C
• Bon Secours Cottage Health Services
• Sarah Grace Bowering
• Angela Boyce
• Lesley Laraby Boykin, DSPA, CCC-SLP
• Laura Ann Brenton, RRT
• Brian Powers, Ma LLP PC

• Marriage & Family Therapist in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.