1881962413 NPI number — MS. JOANNA KYRIE BROWN-GORDON LMSW, MA

Table of content: MS. JOANNA KYRIE BROWN-GORDON LMSW, MA (NPI 1881962413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881962413 NPI number — MS. JOANNA KYRIE BROWN-GORDON LMSW, MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN-GORDON
Provider First Name:
JOANNA
Provider Middle Name:
KYRIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW, MA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881962413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17135 WESTMORELAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48219-3533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-225-2618
Provider Business Mailing Address Fax Number:
313-977-9296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30100 TELEGRAPH RD STE 474
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BINGHAM FARMS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48025-5810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-914-4607
Provider Business Practice Location Address Fax Number:
313-977-9296
Provider Enumeration Date:
12/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801089546 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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