Blanche Annette Stevens, LMSW

Key facts

NPI

1558424697

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

6801081146 (MI)

Practice address

789 N Clare Ave
Harrison, MI 48625-9194

Phone

(989) 539-2141

Fax

(989) 539-2143

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558424697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 DELL RD",
            "address_2": "P O BOX 141",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486258715",
            "telephone_number": "989-539-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259194",
            "telephone_number": "989-539-2141",
            "fax_number": "989-539-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "BLANCHE",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801081146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, MI

• Samantha Sherman, PTA
• Katie Mae Shook
• Sydney Simon, RN
• Kathlyn Marie Steinman, MSW LMSW ACSW
• Stephen C McClintic, O.D. P.C
• Samantha Sturgeon, PA-C
• Kathryn Tasson, PA-C
• Julie Thomason, LLMSW
• Melissa Mae Thompson
• Elizabeth M Tratar

All providers in Harrison, MI · Mental Health Counselor in Michigan