Organization Active NPI

Emotional Wellness Group LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Detroit, MI
National Provider Identifier
1851920581
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
EMOTIONAL WELLNESS GROUP LLC
Practice address
11956 E Outer Dr
Detroit, MI 48224-2630
Phone
(248) 346-5312
NPI assigned
Apr 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Authorized official

Name
Heather Anthony
Title
Owner/ Clinical
Phone
(248) 346-5312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X Primary

Addresses

Primary practice location

11956 E Outer Dr
Detroit, MI 48224-2630

Mailing address

11956 E Outer Dr
Detroit, MI 48224-2630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585958400000",
    "number": "1851920581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11956 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242630",
            "telephone_number": "248-346-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/ CLINICAL",
        "authorized_official_telephone_number": "248-346-5312"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.