Organization Active NPI

Sean Giles Redemption Therapeutic Services LLC

  • Social Worker
  • Detroit, MI
National Provider Identifier
1689238818
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SEAN GILES REDEMPTION THERAPEUTIC SERVICES LLC
Practice address
13160 W Outer Dr Apt 123
Detroit, MI 48223-3187
Phone
(313) 978-8073
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Geneva Ann Giles, LLMSW
Title
Ceo
Phone
(313) 978-8073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

13160 W Outer Dr Apt 123
Detroit, MI 48223-3187

Mailing address

PO Box 19398
Detroit, MI 48219-0398
Phone (313) 978-8073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1689238818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19398",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482190398",
            "telephone_number": "313-978-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 W OUTER DR APT 123",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233187",
            "telephone_number": "313-978-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN GILES REDEMPTION THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-978-8073",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 2019; 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.