SearchMichigan106S00000X

Kamiah Mack

NPI 1659234763 · on the registry since 2025 · sole proprietor

Practice

Address
14750 Saint Marys St
Detroit, MI 48227
Phone
(646) 920-2470
Organisation at this address
Emmanuel House
Emmanuel House
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan