Dembro Outpatient Services of Michigan

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEMBRO OUTPATIENT SERVICES OF MICHIGAN

Practice address

2021 Monroe St Ste 303
Dearborn, MI 48124-2926

Phone

(313) 800-9266

Fax

(313) 490-1516

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Erica D Brown, MA, LAC, NCC

Title

Chief Administratot

Phone

(313) 575-9629

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1790523462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST STE 303",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "313-800-9266",
            "fax_number": "313-490-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MONROE ST STE 303",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242926",
            "telephone_number": "313-800-9266",
            "fax_number": "313-490-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMBRO OUTPATIENT SERVICES OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOT",
        "authorized_official_telephone_number": "313-575-9629",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LAC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Dearborn, MI
• Providers in Dearborn, 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 Jul 17, 2024; 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.