Goddess Great
Goddess Great is a healthcare organization registered as Case Management Agency in Detroit, MI, holding Type 2 (organization) NPI 1104435460 since 2020. The authorized official on file is Kymaletha Brown, Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104435460 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Goddess Great |
| Practice address | 17169 E WARREN AVE, Detroit, MI, 48224 |
| Phone | 3138569192 |
| Enumeration date | 2020-07-23 |
| Last updated in NPPES | 2022-01-20 |
Authorized official
| Name | Kymaletha Brown |
|---|---|
| Title | Coordinator |
| Phone | 2694145907 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Secondary | — | — |
| 251B00000X | Case Management Agency | Primary | — | — |
Copy-ready billing details
Provider: Goddess Great NPI: 1104435460 Taxonomy: 251B00000X (Case Management Agency) Address: 17169 E WARREN AVE, Detroit, MI, 48224
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407371529 | Kymaletha Brown | Individual | Professional Counselor | Detroit, MI |
| 1902558091 | The Great Divine Center LLC | Organization | Mental Health Counselor | Detroit, MI |
| 1740932763 | Bridget Leonard | Individual | Registered Nurse | Detroit, MI |
Verify this record
Cross-check NPI 1104435460 against the authoritative CMS record: view Goddess Great on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Goddess Great?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-01-20.