DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. LARRY WILLIS COLSTON LMSW,ACSW

MEDICARE: MR. LARRY WILLIS COLSTON LMSW,ACSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801034096MI

General Provider Information

NPI Number : 1033294947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LARRY WILLIS COLSTON LMSW,ACSW
Provider Business Mailing Address
First Line : 10 PETERBORO ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2722
Country : US
Telephone Number : 313-831-3160
Fax Number : 313-831-2604
Provider Business Practice Location Address
First Line : 10 PETERBORO ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2722
Country : US
Telephone Number : 313-831-3160
Fax Number : 313-831-2604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 05/25/2012

Similar Medicare Providers

1346192945 — NADIA YANAT RN
Practice Location Address:
10 PETERBORO ST
DETROIT, MI
48201-2722
Practice Phone: 313-578-6123
Practice Fax: 313-309-1090
1659574747 — MR. JEREL BRICKERSON MSW
Practice Location Address:
10 PETERBORO ST
DETROIT, MI
48201-2722
Practice Phone: 313-831-3160
Practice Fax:
1477572469 — HANHEUNG LEE M.D.
Practice Location Address:
10 PETERBORO ST
DETROIT, MI
48201-2722
Practice Phone: 313-221-8595
Practice Fax: 313-221-8595
1447271788 — DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC
Practice Location Address:
10 PETERBORO
DETROIT, MI
48201-2722
Practice Phone: 313-831-3160
Practice Fax: 313-831-2604
1508955733 — SAMUEL A. KLEIN MD
Practice Location Address:
10 PETERBORO ST
DETROIT, MI
48201-2722
Practice Phone: 313-831-3160
Practice Fax:
1902933674 — MRS. IRVA FABER-BERMUDEZ APRN, BC
Practice Location Address:
10 PETERBORO ST
DETROIT, MI
48201-2722
Practice Phone: 313-831-3160
Practice Fax:

Directions to “ MR. LARRY WILLIS COLSTON LMSW,ACSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.