MARY JO GARDNER DENMAN LLPC
NPI 1396035986
Counselor - Professional in Southgate, MI
Active since April 15, 2011
About Mary Jo Gardner Denman Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JO GARDNER DENMAN LLPC (NPI 1396035986) is an individual professional provider in Southgate, Michigan, licensed in Michigan (L2079431) and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1396035986
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY JO GARDNER DENMANCredential: LLPC
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address13660 Peach StSouthgate, MI 48195-1320 · (734) 285-7098
Phone(734) 785-7700
Sole ProprietorYes
Enumeration DateApril 15, 2011
Last NPPES UpdateMay 4, 2012
✔ NPI 1396035986 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · L2079431
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License PV0000000772837 (MI)
13101 ALLEN RD, Southgate, MI 48195
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
13101 ALLEN RD, SUITE 100
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
Psychologist (Addiction (Substance Use Disorder))
13101 ALLEN RD, SUITE 300
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396035986, enumerated as an "individual" on April 15, 2011.
The provider is located at 13101 ALLEN RD SOUTHGATE, MI 48195 and the phone number is (734) 785-7700.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
