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Organization

BEYOND FOCUSED

Active
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Organization

BEYOND FOCUSED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESTINY SIMS LMSW (ADMINISTRATOR)
(313) 671-7712
Entity
Organization

Contact information

Practice address
5575 CONNER ST STE 201, DETROIT, MI 48213-6401
(313) 671-7712
Mailing address
5575 CONNER ST STE 201, DETROIT, MI 48213-6401

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
163W00000X
Registered Nurse
163WP0808X
Psychiatric/Mental Health Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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