| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DORIAN IMANI BALLARD | 1023893864 | 2024-03-10 |
Dorian Imani Ballard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023893864. Registration indicates Dorian Imani Ballard is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Dorian Imani Ballard |
| Practice Office Address | 26150 SUMMERDALE DR SOUTHFIELD, MI US |
| Practice Office Telephone | 2484956789 |
| Mailing Address | 26150 SUMMERDALE DR SOUTHFIELD, MI 480336135 US |
| Business Telephone | 2484956789 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |