Elisha Etienne LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ELISHA ETIENNE LLC

Practice address

4720 Romeo LN
Northville, MI 48167-8699

Phone

(734) 985-3085

NPI assigned

Mar 20, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Francine Jackson, LMSWNPI 1821546375

Title

Owner

Phone

(734) 985-3085

Specialties & licenses 3

Addresses

Practitioners 1

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

• Francine Jackson, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1821546375
  NPD Authorized official

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1841826955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 ROMEO LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481678699",
            "telephone_number": "734-985-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 ROMEO LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481678699",
            "telephone_number": "734-985-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHA ETIENNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-985-3085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Ehlendt, D.D.S.
• Ijeoma Ekeogu
• El-Awadi Northville DDS PLLC (Northville City Dental)
• Elevate Mental Health Studio, LLC
• Erinn Lorraine Elhardt, MS OTR/L
• Elite Smile Family Dentistry PLLC
• Shirley Ellington
• Sandra L Elliott, F.N.P.
• Dawn Enderle, CD(DONA)
• Lauren Justine Enfroy, LPC

• Adult Mental Health Clinic/Center in Northville, MI
• Providers in Northville, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.