Monroe Wellness Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MONROE WELLNESS CENTER LLC

Practice address

311 N Monroe St
Monroe, MI 48162-2621

Phone

(734) 770-7912

Fax

(734) 241-0014

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Shehadeh Butler, LMSWNPI 1386195592

Title

Employee/Owner

Phone

(734) 770-7912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Andrew Shehadeh Butler

  • Social Worker
  • Monroe, MI
  • NPI 1386195592
  Medicare reassignment NPD Authorized official
• Amal Butler, MSW

  • Social Worker
  • Monroe, MI
  • NPI 1407925993
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1356185060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 TANAGER DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619644",
            "telephone_number": "734-770-7912",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622621",
            "telephone_number": "734-770-7912",
            "fax_number": "734-241-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SHEHADEH",
        "authorized_official_title_or_position": "EMPLOYEE/OWNER",
        "authorized_official_telephone_number": "734-770-7912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Springs Operating
• Monroe Urgent Care Inc
• Monroe Urgent Care Inc
• Monroe Urology Associates PLLC
• Monroe Vision Source, PLC
• Linda P Monroe, LMSW
• Monroeperiodontics PLLC
• Monroerehabconnection LLC
• Brittany Moomaw, LLMSW
• Cynthia Ann Moore, LPN

• Clinical Social Worker in Monroe, MI
• Providers in Monroe, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.