Organization
J&P COUSINS LLC
Active
Organization
J&P COUSINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDRERY ELAINE SMITH MPH (CHIEF EXECUTIVE OFFICER)
(313) 402-9608
Entity
Organization
Contact information
Practice address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(313) 402-9608
Mailing address
18082 PARKSIDE ST, DETROIT, MI 48221-2719
(313) 402-9608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up