Organization · NPI-2
Everlasting Hope PLLC
Social Worker, Clinical · Detroit, MI
NPI number1871029546
StatusActive
Last updated in NPPESMay 2, 2017
Details
- NPI
- 1871029546
- Entity type
- Organization (NPI-2)
- Legal business name
- Everlasting Hope PLLC
- Organization subpart
- No
- Enumeration date
- May 2, 2017
- Last updated
- May 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 104100000X | Social Worker | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
2901 S Ethel StDetroit, MI 48217-1531
Phone 313-775-6335
Mailing address
2901 S Ethel StDetroit, MI 48217-1531
Phone 313-775-6335
Authorized official
Cheryl Ann Jackson
Clinical Therapist
3137756335
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