Provider Demographics
NPI:1114761988
Name:PROJECT HEALTHY COMMUNITY
Entity type:Organization
Organization Name:PROJECT HEALTHY COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FAMILY WELLNESS PROGRAM
Authorized Official - Prefix:
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KERSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:313-898-1441
Mailing Address - Street 1:PO BOX 252433
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325-2433
Mailing Address - Country:US
Mailing Address - Phone:248-892-4585
Mailing Address - Fax:
Practice Address - Street 1:18100 MEYERS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1426
Practice Address - Country:US
Practice Address - Phone:248-892-4585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty