Provider Demographics
NPI:1689338949
Name:NATIONAL ASSOCIATIONS OF YEMENI AMERICANS, INC
Entity type:Organization
Organization Name:NATIONAL ASSOCIATIONS OF YEMENI AMERICANS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULHAKEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALSADAH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:313-779-1858
Mailing Address - Street 1:PO BOX 7399
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48121-7399
Mailing Address - Country:US
Mailing Address - Phone:133-500-7884
Mailing Address - Fax:313-733-4265
Practice Address - Street 1:10415 DIX
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1505
Practice Address - Country:US
Practice Address - Phone:313-842-8402
Practice Address - Fax:313-842-3135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-23
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6401017135OtherLPC