MR. GREGORY DOUGLAS NPI 1841707536

NPI Information

NPI: 1841707536
Provider Name: MR. GREGORY DOUGLAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
6451 SCHAEFER RD
DEARBORN, MI
ZIP 48126
Phone: (313) 945-8138
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MR. Gregory Douglas is an addiction (substance use disorder) counselor in Dearborn, MI. MR. Gregory Douglas NPI is 1841707536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6451 SCHAEFER RD
DEARBORN, MI
ZIP 48126-212
Phone: (313) 945-8138
Fax: (313) 203-3390

The enumeration date for this NPI number is 1/4/2018 and was last updated on 4/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6801101945	MICHIGAN	Yes
2	1041C0700X	Social Worker	Clinical	6801101945	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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