# DETROIT WAYNE MENTAL HEALTH AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609290451
- **Authorized official:** MRS. STACIE DURANT CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (313) 344-9099

## Contact information

- **Practice address:** 707 W MILWAUKEE ST, DETROIT, MI 48202-2943
- **Practice address phone:** (313) 344-9099
- **Mailing address:** 707 W MILWAUKEE ST, DETROIT, MI 48202-2943
- **Mailing address phone:** (313) 344-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TF0000X | Family Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | — | — | — |

## Other

- **Enumeration date:** 02/14/2014
- **Last updated:** 10/24/2016