Organization
J&P COUSINS LLC
Active
Organization
J&P COUSINS LLC
Active
Other names
SafetyZone
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY ELAINE SMITH MPH (CHIEF EXECUTIVE OFFICER)
(313) 402-9608
Entity
Organization
Contact information
Practice address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 951-8413
(248) 951-8420
Mailing address
18082 PARKSIDE ST, DETROIT, MI 48221-2719
(313) 402-9608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/01/2024
Last updated
07/31/2025
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