OrganizationActive
Detroit Wayne Mental Health Authority
NPI 1609290451 · Clinical Child & Adolescent Psychologist · Detroit, MI
Provider details
- NPI number
- 1609290451
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stacie Durant, Chief Financial Officer(313) 344-9099
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
Practice location
707 W Milwaukee St
Detroit, MI 48202-2943
Phone: (313) 344-9099
Approximate (ZIP-level) locationGet directions
Mailing address
707 W Milwaukee St
Detroit, MI 48202-2943
Registry dates
- Enumerated
- 2014-02-14
- Last updated
- 2016-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.