Organization Active NPI

Vessels of Compassion Therapy Center LLC

  • Mental Health Counselor
  • Romulus, MI
National Provider Identifier
1568172732
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VESSELS OF COMPASSION THERAPY CENTER LLC
Practice address
11000 Hunt St # 74194
Romulus, MI 48174-3832
Phone
(734) 494-2179
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Mrs. Tracy Renee Boatmon, LMSWNPI 1326657545
Title
Owner
Phone
(313) 516-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11000 Hunt St # 74194
Romulus, MI 48174-3832

Mailing address

11000 Hunt St # 74194
Romulus, MI 48174-3832
Phone (734) 494-2179

National Provider Directory

National Provider Directory

Locations

11000 Hunt St
Unit 74194
Romulus, MI 48174
Phone (734) 494-2179

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1568172732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 HUNT ST # 74194",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743832",
            "telephone_number": "734-494-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 HUNT ST # 74194",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743832",
            "telephone_number": "734-494-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESSELS OF COMPASSION THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "BOATMON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-516-8717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.