Andel Therapeutic Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801007547 Issued in MI

Legal business name

ANDEL THERAPEUTIC SOLUTIONS, LLC

Practice address

5555 Conner St Ste 3265
Detroit, MI 48213-3487

Phone

(313) 792-2805

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Edna T. Walker

Title

Ceo

Phone

(313) 792-2805

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, and the practitioner matching its NPPES authorized official.

• Evangeline V Burden, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1235433384
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1710110093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15754 ASHTON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231304",
            "telephone_number": "313-792-2805",
            "fax_number": "313-792-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 3265",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133487",
            "telephone_number": "313-792-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDEL THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-792-2805",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801007547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.