Provider Demographics
NPI:1326929514
Name:MOTON, DAIREONA C (LLMSW)
Entity type:Individual
Prefix:
First Name:DAIREONA
Middle Name:C
Last Name:MOTON
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30200 TELEGRAPH RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4503
Mailing Address - Country:US
Mailing Address - Phone:248-425-9707
Mailing Address - Fax:
Practice Address - Street 1:30200 TELEGRAPH RD STE 300
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4503
Practice Address - Country:US
Practice Address - Phone:248-425-9709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851118098104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker