Tripp, Lakecha Marhonda

Tripp, Lakecha Marhonda is an individual health care provider with primary practice located at 14799 Dix Toledo Rd , Southgate MI 48195-2507. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tripp, Lakecha Marhonda can be contacted via phone (734) 324-8326.

Contact Information

Primary practice address
14799 Dix Toledo Rd Southgate MI 48195-2507
Phone: (734) 324-8326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Michigan

Profile Details

NPI number 1417225954
LBN Legal business name Tripp, Lakecha Marhonda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Apr 16th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417225954 NPPES
Michigan MEDICAID TRIPPLA

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