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NUMINA LLC NPI 1386234193


NPI Information

NPI: 1386234193
Provider Name: NUMINA LLC

Doing Business As: NUMINA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
835 MASON ST
DEARBORN, MI
ZIP 48124
Phone: (313) 444-9887
Get Directions

NUMINA LLC is a clinic center in Dearborn, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUMINA LLC NPI is 1386234193. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Numina.

The provider's business location address is:

835 MASON ST
DEARBORN, MI
ZIP 48124-231
Phone: (313) 444-9887

The provider's authorized official is Amyna Ftouni .
The authorized official title is Co-owner and has the following contact phone number (313) 909-4099.

The enumeration date for this NPI number is 1/25/2021 and was last updated on 4/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TH0100XPsychologistHealth ServiceNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6174400000XSpecialistNo
7261Q00000XClinic/CenterYes
8261QH0100XClinic/CenterHealth ServiceNo
9261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
10261QM0850XClinic/CenterAdult Mental HealthNo
11261QM1300XClinic/CenterMulti-SpecialtyNo
12102L00000XPsychoanalystNo
13103TH0004XPsychologistHealthNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16301016427OTHERMICHIGANBOARD OF PSYCHOLOGY - MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
26801105547OTHERMICHIGANBOARD OF SOCIAL WORK - MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

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

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