Insight Center for Creative Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INSIGHT CENTER FOR CREATIVE COUNSELING, LLC

Practice address

17340 W 12 Mile Rd
Suite 202
Southfield, MI 48076-2122

Phone

(734) 489-3043

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi S Butler, LMSW, LCSW

Title

Owner, Clinical Therapist

Phone

(734) 489-3043

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1578000998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25602 W 12 MILE RD",
            "address_2": "APT. 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348039",
            "telephone_number": "734-489-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 W 12 MILE RD",
            "address_2": "SUITE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762122",
            "telephone_number": "734-489-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT CENTER FOR CREATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, CLINICAL THERAPIST",
        "authorized_official_telephone_number": "734-489-3043",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Southfield, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.