Provider Demographics
NPI:1548869258
Name:HEMBREE, NAKITA M (LMSW)
Entity type:Individual
Prefix:MS
First Name:NAKITA
Middle Name:M
Last Name:HEMBREE
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 1:3678 HUNT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-3235
Mailing Address - Country:US
Mailing Address - Phone:313-329-1637
Mailing Address - Fax:
Practice Address - Street 1:10000 WAYNE RD STE 2
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-3431
Practice Address - Country:US
Practice Address - Phone:734-494-2179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801103139104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker