IndividualActive
Loretta Bantom
NPI 1013448059 · Professional Counselor · Detroit, MI
Loretta Bantom is a Professional Counselor provider in Detroit, MI (NPI 1013448059).
Provider details
- NPI number
- 1013448059
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6401015420 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
Street-level locationGet directions
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2017-03-22
Frequently asked questions
- What is Loretta Bantom's NPI number?
- Loretta Bantom's National Provider Identifier (NPI) is 1013448059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Loretta Bantom's specialty?
- Loretta Bantom is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Loretta Bantom located?
- Loretta Bantom's practice location on file with NPPES is 79 W Alexandrine St, Detroit, MI 48201-2015.
- What is Loretta Bantom's phone number?
- The practice phone number listed in the NPPES registry for Loretta Bantom is (313) 831-5535.
- Is Loretta Bantom's NPI active?
- Yes — Loretta Bantom's NPI (1013448059) is active in the NPPES registry as of the last update on 2017-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.