Counseling and Integrative Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085894 Issued in MI

Legal business name

COUNSELING AND INTEGRATIVE WELLNESS CENTER

Practice address

28222 Franklin Rd
Southfield, MI 48034-1659

Phone

(248) 355-3977

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Nicole Aubrey Runyon, LMSW

Title

Clinician

Phone

(248) 355-3977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1841419264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28222 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341659",
            "telephone_number": "248-355-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28222 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341659",
            "telephone_number": "248-355-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND INTEGRATIVE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "AUBREY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "248-355-3977",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corplabx LLC
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• David B Cotton, M.D.
• Stacey Renae Couch
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• Counseling Services P.C.
• County of Oakland

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.