Provider Demographics
NPI:1174555122
Name:MULHERE, JOANNE THERESA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:THERESA
Last Name:MULHERE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-7003
Mailing Address - Country:US
Mailing Address - Phone:248-723-6850
Mailing Address - Fax:
Practice Address - Street 1:43996 WOODWARD AVE
Practice Address - Street 2:STE. 101
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5027
Practice Address - Country:US
Practice Address - Phone:248-338-2988
Practice Address - Fax:248-338-1322
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010835281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0911419OtherBCBSM MESSA/MAGELLAN
MI1063603106OtherHEALTH PLUS PIN
MI5266701OtherAETNA BEHAVIORAL HEALTH
MI028363OtherVALUE OPTIONS
MI1705289Medicaid
MI130958OtherCARE CHOICES /PREFERRED
MI20530OtherBCBSM SUBSTANCE ABUSE
MI258694OtherMHN
MI7509104190OtherBCBSM MENTAL HEALTH PIN
MI0911419OtherBCBSM MESSA/MAGELLAN