Provider / Organization | NPI | Date Certified |
---|---|---|
DEMARRA WEST | 1144593468 | 2024-09-08 |
Demarra West is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144593468. Registration indicates Demarra West is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Demarra West |
Practice Office Address | 2057 HYDE PARK RD DETROIT, MI US |
Practice Office Telephone | 2697790415 |
Mailing Address | 2057 HYDE PARK RD DETROIT, MI 482073885 US |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 6401012455
MI |