DR. AMELITA MANDINGO PHD RDT ADS CHT NPI 1689704413

NPI Information

NPI: 1689704413
Provider Name: DR. AMELITA MANDINGO, PHD, RDT, ADS, CHT,
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
11000 W MCNICHOLS RD
SUITE B2-B4
DETROIT, MI
ZIP 48221
Phone: (313) 863-5554
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DR. Amelita Mandingo, PHD, RDT, ADS, CHT, is a counselor in Detroit, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Amelita Mandingo, PHD, RDT, ADS, CHT, NPI is 1689704413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11000 W MCNICHOLS RD
SUITE B2-B4
DETROIT, MI
ZIP 48221-357
Phone: (313) 863-5554
Fax: (313) 863-4711

The enumeration date for this NPI number is 3/7/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	X
3	101YP2500X	Counselor	Professional	X
4	106H00000X	Marriage & Family Therapist		X
5	171100000X	Acupuncturist		X
6	171M00000X	Case Manager/Care Coordinator		X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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