Mandingo, Amelita

Mandingo, Amelita is an individual health care provider with primary practice located at 11000 W Mcnichols Rd Suite B2-B4, Detroit MI 48221-2357. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Acupuncturist, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mandingo, Amelita can be contacted via phone (313) 863-5554.

Contact Information

Primary practice address
11000 W Mcnichols Rd Suite B2-B4 Detroit MI 48221-2357
Phone: (313) 863-5554
Fax: (313) 863-4711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Acupuncturist 171100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1689704413
LBN Legal business name Mandingo, Amelita
Credentials PHD, RDT, ADS, CHT,
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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