Judith a Persley LLC Individual and Family Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6801089336 Issued in MI

Legal business name

JUDITH A PERSLEY LLC INDIVIDUAL AND FAMILY COUNSELING

Practice address

37040 Garfield Rd
Suite T-5
Clinton Township, MI 48036-3646

Phone

(586) 872-7215

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Judith A Persley, LMSWNPI 1255480414

Title

Owner/Psychotherapist

Phone

(586) 872-7215

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Judith Persley, MSA

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
  • NPI 1255480414
  NPD (past) Authorized official

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1609141969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43117 W KIRKWOOD DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381224",
            "telephone_number": "586-872-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37040 GARFIELD RD",
            "address_2": "SUITE T-5",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363646",
            "telephone_number": "586-872-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A PERSLEY LLC INDIVIDUAL AND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "PERSLEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "586-872-7215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6801089336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.