Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antoinette Pouokam-Longmo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770144370

Antoinette Pouokam-Longmo is a Nurse Practitioner in Southgate, Michigan. Qualified in 2020, 6 years ago. Practices with Team Mental Health Services Inc, a 34-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2019

Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (877) 299-1655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704281627 (MI)

Record details

NPI number1770144370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Team Mental Health Services Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southgate