Core Healing Center, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006623 Issued in MI

Legal business name

CORE HEALING CENTER, PLLC

Practice address

218 N 4TH Ave Ste 208
Ann Arbor, MI 48104-1472

Phone

(734) 776-2284

NPI assigned

Feb 3, 2006

Last updated

Apr 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alice Jeanette Gagnon, M.A., L.P.C.

Title

Owner, Director, Psychotherapist

Phone

(734) 776-2284

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Violet Alice Eden, M.A., L.P.C.

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1740403773
  NPD

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1871565911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N 4TH AVE STE 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041472",
            "telephone_number": "734-776-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 4TH AVE STE 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041472",
            "telephone_number": "734-776-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-776-2284",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Carolina Godoi Cordeiro-Rudnisky, M.D.
• Elise Celia Corden, MD
• Anna Cordero
• Holly Cordray, MD
• Kyla Cordrey, MD
• Core Resilience Counseling & Wellness LLC
• Alison Corey
• Jennifer Corey, M.SC., CCC-SLP
• Jodi Lynn Corey, RN
• Julie Corey

• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.