Provider Demographics
NPI:1396440582
Name:OWENS, DARLENE DENISE (MBA, LBSW, CADC, ADS)
Entity type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:DENISE
Last Name:OWENS
Suffix:
Gender:F
Credentials:MBA, LBSW, CADC, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 STIMSON ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2410
Mailing Address - Country:US
Mailing Address - Phone:313-993-4700
Mailing Address - Fax:
Practice Address - Street 1:150 STIMSON ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2410
Practice Address - Country:US
Practice Address - Phone:313-993-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802062569101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)