Ba New You Counseling and Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401009266 Issued in MI

Legal business name

BA NEW YOU COUNSELING AND WELLNESS CENTER

Practice address

19111 W 10 Mile Rd
Suite #224
Southfield, MI 48075-2417

Phone

(248) 721-4608

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Alexandra J Colvard, MA, LPC, CAADC

Title

Licensed Professional Counselor

Phone

(248) 721-4608

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1952750895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE #224",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417",
            "telephone_number": "248-721-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE #224",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417",
            "telephone_number": "248-721-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BA NEW YOU COUNSELING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "COLVARD",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "248-721-4608",
        "authorized_official_credential": "MA, LPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009266",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401014155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasnim Azim, DO
• Talia Simone Azir
• Rashad Aziz
• Marianne Azneer-Harbut, PA-C
• Sally Azzo
• Nkosi Kofi Babafemi KMT
• Jacob Zachary Babb, DO
• Andrew Bacha
• Mark Bacigal, D.O.
• Back to You Central Park LLC

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, 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 Jun 10, 2016; 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.