1902353113 NPI number — MADONA AOUN

Table of content: JUDITH MELISSA HALSELL LCSW (NPI 1760968705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902353113 NPI number — MADONA AOUN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AOUN
Provider First Name:
MADONA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1902353113
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6240 YINGER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DEARBORN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48126-2028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-701-4723
Provider Business Mailing Address Fax Number:
734-667-1655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20491 FAIRVIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEARBORN HEIGHTS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48127-2680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-701-4723
Provider Business Practice Location Address Fax Number:
734-667-1655
Provider Enumeration Date:
09/06/2016

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: 124Q00000X , with the licence number:  2902017084 , 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)