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MANIFEST THIRTY-ONE LLC
NPI 1952060576
Counselor - Mental Health in Detroit, MI

Active since December 10, 2021
19353 SAN JUAN DR, DETROIT, MI 48221(313) 378-8418 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manifest Thirty-one Llc NPPES

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

MANIFEST THIRTY-ONE LLC (NPI 1952060576) is a healthcare organization registered as a mental health in Detroit, Michigan and active in the NPI registry since December 2021. The organization lists Tajanae Deann Ford, Owner/outpatient Therapist, as its authorized official.

NPPES Registry Identity

NPI1952060576
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMANIFEST THIRTY-ONE LLC
Location Address19353 SAN JUAN DRDetroit, MI 48221-1713
Mailing Address19353 San Juan DrDetroit, MI 48221-1713 · (313) 378-8418
Phone(313) 378-8418
Organization SubpartNo
Authorized OfficialTajanae Deann FordOwner/outpatient Therapist · (313) 378-8418
Enumeration DateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1952060576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
19353 SAN JUAN DR, Detroit, MI 48221
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. TAJANAE FORD LLPC
Counselor (Mental Health)
19353 SAN JUAN DR
DETROIT, MI 48221
Wayne County (313) 378-8418

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 Manifest Thirty-One LLC's NPI number?

The NPI number for Manifest Thirty-One LLC is 1952060576. It was assigned to this organization in the NPPES registry on December 10, 2021.

Where is Manifest Thirty-One LLC located?

Manifest Thirty-One LLC is located at 19353 San Juan Dr, Detroit, MI 48221. The listed phone number is (313) 378-8418.

What is Manifest Thirty-One LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Manifest Thirty-One LLC was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.