| NPI | 1043980097 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-09-20 |
| Last Updated | 2021-12-03 |
| Authorized Official | Kimberly Helton Office Manager Phone: 3132311771 |
| Mailing Address | 14533 Mack Ave Detroit, MI 48215-2520 United States Phone: (313) 605-9400 📍 View Map |
| Primary Practice Address | 14533 Mack Ave Detroit, MI 48215-2520 United States Phone: (313) 605-9400 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 103TC1900X – Psychologist, Counseling | — | — |
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About NPI 1043980097
Shanle Psychological Services Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043980097. The primary specialty listed is Psychologist, Counseling. The organization is located in Detroit, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043980097?
NPI 1043980097 belongs to Shanle Psychological Services Llc, a Psychologist, Counseling in Detroit, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043980097 active?
The current status of NPI 1043980097 in the NPPES registry is Active. The record was last updated on 2021-12-03.
What specialty is NPI 1043980097?
NPI 1043980097 is classified under the taxonomy Psychologist, Counseling. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043980097?
You can verify NPI 1043980097 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043980097?
The primary practice address on file for NPI 1043980097 is 14533 Mack Ave, Detroit, MI 48215-2520. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043980097 issued?
NPI 1043980097 was first issued (enumerated) on 2021-09-20. The NPPES record was last updated on 2021-12-03.
Practice Location Map
Shanle Psychological Services Llc is located at 14533 Mack Ave, Detroit, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Shanle Psychological Services Llc. All records sourced from the CMS NPPES registry.