The (B)Resource Room LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE (B)RESOURCE ROOM LLC

Practice address

19532 Westphalia St
Detroit, MI 48205-1734

Phone

(313) 564-7204

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Breonna JonesNPI 1619337953

Title

Owner

Phone

(313) 564-7204

Specialties & licenses 4

Addresses

Practitioners 1

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

• Breonna Jones

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1619337953
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1790446433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19532 WESTPHALIA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19532 WESTPHALIA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051734",
            "telephone_number": "313-564-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE (B)RESOURCE ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BREONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-564-7204"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethany Thayer
• Jennifer Dyan Thayer, CRNA
• William Bradley Thayer, DDS
• The 1St Choice Home Health Agency LLC
• The 4TH Man LLC
• The Adult Psychiatric Clinic
• The Arc Detroit
• The Bailey Medical Group P.C.

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.