KIM LOGAN COMMUNICATIONS CLINIC INC NPI 1073810644

NPI Information

NPI: 1073810644
Provider Name: KIM LOGAN COMMUNICATIONS CLINIC INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3011 W GRAND BLVD
SUITE 423
DETROIT, MI
ZIP 48202
Phone: (313) 664-4900
Get Directions

KIM LOGAN COMMUNICATIONS CLINIC INC is a professional counselor in Detroit, MI. KIM LOGAN COMMUNICATIONS CLINIC INC NPI is 1073810644. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3011 W GRAND BLVD
SUITE 423
DETROIT, MI
ZIP 48202-096
Phone: (313) 664-4900
Fax: (313) 664-4901

The provider's authorized official is Karen O Anderson .
The authorized official title is Office Manager and has the following contact phone number (313) 664-4900.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 12/13/2016.

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	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401001940	MICHIGAN	Yes
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			No
3	103TC0700X	Psychologist	Clinical	6301011558	MICHIGAN	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent			No
5	103TF0000X	Psychologist	Family			No
6	103TP2701X	Psychologist	Group Psychotherapy			No
7	1041C0700X	Social Worker	Clinical	6801068236	MICHIGAN	No
8	1041S0200X	Social Worker	School	6301011558	MICHIGAN	No
9	106H00000X	Marriage & Family Therapist				No
10	235Z00000X	Speech-Language Pathologist		12068248	MARYLAND	No

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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