MRS. CARLLOTTA BOHANEN RN
NPI 1306235916
Counselor - Professional in Detroit, MI

Active since January 20, 2015
24424 W 6 MILE RD, DETROIT, MI 48219(313) 531-2500 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About CARLLOTTA BOHANEN

This page provides the complete NPI Profile along with additional information for Carllotta Bohanen, a provider established in Detroit, Michigan with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1306235916 assigned on January 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 4704275160 (MI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1306235916 Verify this NPI
Provider Name
MRS. CARLLOTTA BOHANEN RN
Gender
Female
Entity Type
Individual
Location Address
24424 W 6 MILE RD DETROIT, MI 48219
Location Phone
(313) 531-2500
Mailing Address
29600 PICKFORD ST LIVONIA, MI 48152
Mailing Phone
(313) 570-9416
Is Sole Proprietor?
Yes
Enumeration Date
01-20-2015
Last Update Date
01-20-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
4704275160
License State
MI

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306235916, enumerated as an "individual" on January 20, 2015.

The provider is located at 24424 W 6 MILE RD DETROIT, MI 48219 and the phone number is (313) 531-2500.

Counselor with taxonomy code 101YP2500X and a focus in Professional.