Provider Information for 1740653773
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. DELEISHIA RAYE HALIBURTON-COLLINS LLMSW
Sex: Female
NPI: 1740653773
Last Updated: 2018-11-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740653773 | ||||||||||||
| Enumeration Date | 2015-11-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 41521 W 11 MILE RD NOVI, MI 48375-1803 United States Phone: 248-299-0030 | Fax: | ||||||||||||
| Primary Practice Address | 41521 W 11 MILE RD NOVI, MI 48375-1803 United States Phone: 248-299-0030 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 17321 TELEGRAPH RD | ||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|