Organization Active NPI

Awakenings Therapy Group

Doing business as Awakenings Therapy Group, PLLC

  • Counselor
  • Detroit, MI
National Provider Identifier
1598465528
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
AWAKENINGS THERAPY GROUP
Doing business as
Awakenings Therapy Group, PLLC
Practice address
8514 W McNichols Rd
Detroit, MI 48221-2570
Phone
(313) 838-8716
Fax
(313) 838-8716
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Taneisha Reddick, LPC
Title
LPC/Owner
Phone
(313) 838-8716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

8514 W McNichols Rd
Detroit, MI 48221-2570

Mailing address

16729 Ferguson St
Detroit, MI 48235-3444
Phone (313) 838-8716

Other practice location 1

16729 Ferguson St
Detroit, MI 48235-3444
Phone (313) 363-1247

Other names 1

  • AWAKENINGS THERAPY GROUP, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

8514 W McNichols Rd
Detroit, MI 48221
Phone (313) 838-8716

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1598465528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16729 FERGUSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353444",
            "telephone_number": "313-838-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212570",
            "telephone_number": "313-838-8716",
            "fax_number": "313-838-8716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16729 Ferguson St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482353444",
            "country_code": "US",
            "telephone_number": "313-363-1247",
            "fax_number": "313-363-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AWAKENINGS THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "TANEISHA",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "313-838-8716",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AWAKENINGS THERAPY GROUP, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AWAKENINGS THERAPY GROUP, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.