MS. BEVERLY ANN WORJLOH
NPI 1891047577
Counselor - Mental Health in Detroit, MI
Active since October 05, 2012
About Ms. Beverly Ann Worjloh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BEVERLY ANN WORJLOH (NPI 1891047577) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6801094607) and active in the NPI registry since October 2012.
NPPES Registry Identity
NPI1891047577
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. BEVERLY ANN WORJLOH
Location Address16813 ASHTON AVEDetroit, MI 48219-4101
Mailing Address16813 Ashton AveDetroit, MI 48219-4101
Phone(313) 396-5300
Sole ProprietorNo
Enumeration DateOctober 5, 2012
✔ NPI 1891047577 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 · 6801094607
16813 ASHTON AVE, Detroit, MI 48219
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891047577, enumerated as an "individual" on October 05, 2012.
The provider is located at 16813 ASHTON AVE DETROIT, MI 48219 and the phone number is (313) 396-5300.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
