FATRENNA GRAHAM
NPI 1649886243
Counselor - Mental Health in Southfield, MI

Q: What is Fatrenna Graham's NPI number?

The NPI number for Fatrenna Graham is 1649886243. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Q: What is Fatrenna Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Fatrenna Graham was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 18, 2020

24100 SOUTHFIELD RD STE 204, SOUTHFIELD, MI 48075(313) 663-0136 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fatrenna Graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FATRENNA GRAHAM (NPI 1649886243) is an individual mental health provider in Southfield, Michigan, licensed in Michigan (6401016270) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1649886243

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameFATRENNA GRAHAM

Location Address24100 SOUTHFIELD RD STE 204Southfield, MI 48075-2851

Mailing AddressPo Box 15536Detroit, MI 48215-0536 · (313) 663-0136

Phone(313) 663-0136

Sole ProprietorNo

Enumeration DateSeptember 18, 2020

NPPES CertifiedSeptember 18, 2020

✔ NPI 1649886243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401016270

24100 SOUTHFIELD RD STE 204, Southfield, MI 48075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NERISSA A LEGG LPC

Counselor (Professional)

24100 SOUTHFIELD RD STE 204
SOUTHFIELD, MI 48075

Oakland County (248) 242-5545

EBONNE ABDUR-RAHMAN

Counselor (Mental Health)

24100 SOUTHFIELD RD STE 204
SOUTHFIELD, MI 48075

Oakland County (248) 242-5545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fatrenna Graham's NPI number?

The NPI number for Fatrenna Graham is 1649886243. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Fatrenna Graham located?

Fatrenna Graham practices at 24100 Southfield Rd Ste 204, Southfield, MI 48075. The listed phone number is (313) 663-0136.

What is Fatrenna Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Fatrenna Graham accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fatrenna Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fatrenna Graham was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.