Slice Life Mental Health and Performance Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SLICE LIFE MENTAL HEALTH AND PERFORMANCE COACHING

Practice address

26648 Kenneth CT
Redford, MI 48239-1922

Phone

(215) 651-9574

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Hydeen K Beverly, PHD, LMSWNPI 1336477892

Title

Owner/Lead Therapist

Phone

(215) 651-9574

Specialties & licenses 1

Addresses

Practitioners 1

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

• Hydeen K Beverly, PHD, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1336477892
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1386469781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26648 KENNETH CT",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26648 KENNETH CT",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391922",
            "telephone_number": "215-651-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLICE LIFE MENTAL HEALTH AND PERFORMANCE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "HYDEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "215-651-9574",
        "authorized_official_credential": "PHD, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watisha D. Sims, LPC
• Sinai Grace Hospital
• Natalie M Sisson
• Stella Eve Skolnik
• Tiffany Slaughterbeck, NP
• Atarah Carshena Small
• Smiles Dental Center, P.C.
• Anitra Shawnta Smith, LLMSW
• Clark K Smith, D.D.S.
• Elizabeth Smith, LLMSW

• Clinical Social Worker in Redford, MI
• Providers in Redford, 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 Nov 20, 2024; 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.