LAKEISHA JORDAN NPI 1225561962

NPI Information

NPI: 1225561962
Provider Name: LAKEISHA JORDAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
522 S MAPLE RD
ANN ARBOR, MI
ZIP 48103
Phone: (734) 585-7965
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Lakeisha Jordan is a mental health counselor in Ann Arbor, MI. Lakeisha Jordan NPI is 1225561962. 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:

522 S MAPLE RD
ANN ARBOR, MI
ZIP 48103-837
Phone: (734) 585-7965
Fax: (734) 585-7977

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6401015922	MICHIGAN	No
2	101YM0800X	Counselor	Mental Health	6401015922	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6401015922	OTHER	MICHIGAN	LLPC

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

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